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Posterior urethral valves: 10 years audit of epidemiologic, diagnostic and therapeutic aspects in Yaoundé gynaeco-obstetric and paediatric hospital.
Tambo, Faustin Felicien Mouafo; Tolefac, Paul Nkemtendong; Ngowe, Marcelin Ngowe; Minkande, Jacqueline Ze; Mbouche, Landry; Guemkam, Georgette; Telelen, Neville Alemnju; Angwafo, Fru Fobuzshi; Sosso, Aurelien Maurice.
Afiliación
  • Tambo FFM; Departmennt of Surgery and Subspecialties, Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaoundé, Cameroon.
  • Tolefac PN; Paediatric Surgery Unit, Yaoundé Gynaeco-Obstetric and Paediatric Hospital, Yaoundé, Cameroon.
  • Ngowe MN; Specialized Internship Program, Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaoundé, Cameroon. ptolefac15@gmail.com.
  • Minkande JZ; Department of Surgery, Faculty of Health Sciences, University of Buea, Buea, Cameroon.
  • Mbouche L; Department of Anaesthesia and Intensive Care, Faculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaoundé, Cameroon.
  • Guemkam G; Department of Anaesthesia and Intensive Care, Yaoundé Gynaeco-Obstetric and Paediatric Hospital, Yaoundé, Cameroon.
  • Telelen NA; Paediatric Surgery Unit, Yaoundé Gynaeco-Obstetric and Paediatric Hospital, Yaoundé, Cameroon.
  • Angwafo FF; Paediatric Nephrology Unit, Mother and Child Centre, Chantal Biya Foundation, Yaoundé, Cameroon.
  • Sosso AM; Department of Surgery, Faculty of Health Sciences, University of Buea, Buea, Cameroon.
BMC Urol ; 18(1): 46, 2018 May 21.
Article en En | MEDLINE | ID: mdl-29783971
BACKGROUND: The incidence of posterior urethral valve (PUV) is estimated at 1:5000-1:8000 males. It is the most common paediatric urologic urgency and the most common cause of male obstructive uropathy and chronic renal failure in children. The study aimed to describe the experience of Yaoundé gynaeco-obstetrics and paediatric hospital in the management of PUV. METHODS: Retrospectively, medical records were retrieved over a ten year period and all data recorded and analyzed for study objectives. Patients were called and evaluated for outcomes regarding morbidity and mortality. RESULTS: A total of 18 patients all males were managed over the ten year period, given prevalence of 13 cases/100,000 admissions and an admission rate of 2 per annum. The median age at presentation was 22 months and 13 (72.2%) participants presented late. Voiding urethrocystogram was done in all the participants where it showed dilated and elongated posterior urethral valves in 16 (88.9%) of the cases. Endoscopic valve ablation resulted in the relief of obstruction in all but 3 (16.7%) participants that had residual valves and 2 (11.2%) participants that had urethral stenosis. Type I valves were most common in 14 (78.0%) participants. The mean duration of follow up was 34.56 ± 21.47 months. Complications at final follow up were: 10 (55.6%) chronic renal failure, 2 (11.2%) end-stage renal failure. The case fatality rate was 5.6%. CONCLUSION: Many patients present late in our setting with already established complications. There is the need to counsel parents/guardians on the importance of long-term follow up after relief of obstruction.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Obstrucción Uretral / Estrechez Uretral / Hospitales Pediátricos / Auditoría Médica Tipo de estudio: Diagnostic_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Child / Child, preschool / Humans / Infant / Male / Newborn País/Región como asunto: Africa Idioma: En Revista: BMC Urol Asunto de la revista: UROLOGIA Año: 2018 Tipo del documento: Article País de afiliación: Camerún Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Obstrucción Uretral / Estrechez Uretral / Hospitales Pediátricos / Auditoría Médica Tipo de estudio: Diagnostic_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Child / Child, preschool / Humans / Infant / Male / Newborn País/Región como asunto: Africa Idioma: En Revista: BMC Urol Asunto de la revista: UROLOGIA Año: 2018 Tipo del documento: Article País de afiliación: Camerún Pais de publicación: Reino Unido