[ PROLAPSUS UTERIN : PREVALENCE, FACTEURS DE RISQUE ET PRISE EN CHARGE A KISANGANI EN REPUBLIQUE DEMOCRATIQUE DU CONGO ]
Volume 22, Issue 1, December 2017, Pages 29–37
Likilo Osundja Jeremy1, Bosenge Nguma Jean Didier2, Lemalema Litanga Benjamin3, Kyembwa Mulyumba Michel4, Taji Leki5, Katenga Bosunga6, and Komanda Likwekwe7
1 Département de Gynécologie-Obstétrique, Faculté de Médecine et de Pharmacie, Université de Kisangani, Kisangani, RD Congo
2 Département de Gynécologie-Obstétrique, Faculté de Médecine et de Pharmacie, Université de Kisangani, Kisangani, RD Congo
3 Hopital CELPA à Kisangani, RD Congo
4 Département de Gynécologie-Obstétrique, Faculté de Médecine, Université de Goma, Goma, RD Congo
5 Département de Gynécologie-Obstétrique, Faculté de Médecine et de Pharmacie, Université de Kisangani, Kisangani, RD Congo
6 Département de Gynécologie-Obstétrique, Faculté de Médecine et de Pharmacie, Université de Kisangani, Kisangani, RD Congo
7 Département de Gynécologie-Obstétrique, Faculté de Médecine et de Pharmacie, Université de Kisangani, Kisangani, RD Congo
Original language: French
Copyright © 2017 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Introduction: Uterine prolapse is a descent of the uterus into the small pelvis that can be associated with the descent of the vagina, the bladder and the rectum. In this study, our goal was to determine the prevalence and major risk factors for uterine prolapse in Kisangani, and to describe its management. Material and methods: A cross-sectional study with a descriptive and multicentric focus was carried out in 5 main general reference hospitals and university clinics in the town of Kisangani from 1st January 2005 to 1st January 2015. We selected 43 cases of uterine prolapse on 7039 cases of gynecological pathologies. Results: The prevalence of uterine prolapse is 0.61% in Kisangani; 93.02% had consulted for organ removal and 69.76% for abdomino-pelvic pain. 20.93% of these patients were aged 61-70 years, 18.6% were over 70 years of age with Extremes: 18 and 73 years, 76.73% had a parity greater than or equal to 4, 12.05% were obese and 32.53% of patients were HIV positive. The Dolleris-Pellonda was performed in 51.16% and the total hysterectomy at 34.88%. Recurrences were recorded in 16.27% of cases. Conclusion: Uterine prolapse remains a reality in medical practice in our town. If several risk factors are found, it is also appropriate to retain the role played by HIV / AIDS infection in the genesis of this disease.
Author Keywords: uterine prolapse, Hysterectomy, Dolleris-Pellonda, organ outlet.
Volume 22, Issue 1, December 2017, Pages 29–37
Likilo Osundja Jeremy1, Bosenge Nguma Jean Didier2, Lemalema Litanga Benjamin3, Kyembwa Mulyumba Michel4, Taji Leki5, Katenga Bosunga6, and Komanda Likwekwe7
1 Département de Gynécologie-Obstétrique, Faculté de Médecine et de Pharmacie, Université de Kisangani, Kisangani, RD Congo
2 Département de Gynécologie-Obstétrique, Faculté de Médecine et de Pharmacie, Université de Kisangani, Kisangani, RD Congo
3 Hopital CELPA à Kisangani, RD Congo
4 Département de Gynécologie-Obstétrique, Faculté de Médecine, Université de Goma, Goma, RD Congo
5 Département de Gynécologie-Obstétrique, Faculté de Médecine et de Pharmacie, Université de Kisangani, Kisangani, RD Congo
6 Département de Gynécologie-Obstétrique, Faculté de Médecine et de Pharmacie, Université de Kisangani, Kisangani, RD Congo
7 Département de Gynécologie-Obstétrique, Faculté de Médecine et de Pharmacie, Université de Kisangani, Kisangani, RD Congo
Original language: French
Copyright © 2017 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Introduction: Uterine prolapse is a descent of the uterus into the small pelvis that can be associated with the descent of the vagina, the bladder and the rectum. In this study, our goal was to determine the prevalence and major risk factors for uterine prolapse in Kisangani, and to describe its management. Material and methods: A cross-sectional study with a descriptive and multicentric focus was carried out in 5 main general reference hospitals and university clinics in the town of Kisangani from 1st January 2005 to 1st January 2015. We selected 43 cases of uterine prolapse on 7039 cases of gynecological pathologies. Results: The prevalence of uterine prolapse is 0.61% in Kisangani; 93.02% had consulted for organ removal and 69.76% for abdomino-pelvic pain. 20.93% of these patients were aged 61-70 years, 18.6% were over 70 years of age with Extremes: 18 and 73 years, 76.73% had a parity greater than or equal to 4, 12.05% were obese and 32.53% of patients were HIV positive. The Dolleris-Pellonda was performed in 51.16% and the total hysterectomy at 34.88%. Recurrences were recorded in 16.27% of cases. Conclusion: Uterine prolapse remains a reality in medical practice in our town. If several risk factors are found, it is also appropriate to retain the role played by HIV / AIDS infection in the genesis of this disease.
Author Keywords: uterine prolapse, Hysterectomy, Dolleris-Pellonda, organ outlet.
Abstract: (french)
Introduction: Le prolapsus utérin est une descente de l’utérus dans le petit bassin qui peut s’associer de la descente du vagin, de la vessie ainsi que du rectum. Dans cette étude, notre objectif a été de déterminer la prévalence et les principaux facteurs de risque de prolapsus utérin à Kisangani, et décrire sa prise en charge. Matériel et méthodes: Une étude transversale à visée descriptive et multicentrique s’était déroulée dans 5 principaux hôpitaux généraux de référence et aux cliniques universitaires de la ville de Kisangani du 1er janvier 2005 au 1er janvier 2015. Nous avons retenu 43 cas de prolapsus utérin sur 7039 cas des pathologies gynécologiques Résultats: La prévalence de prolapsus utérin est de 0,61% à Kisangani ; 93,02% des cas avaient consulté pour Sortie d’organe et 69,76% pour douleur abdomino-pelvienne.20,93% de ces patientes étaient âgées de 61-70 ans, 18,6% de plus de 70 ans avec des extrêmes : 18 et 73 ans, 76,73% avaient une parité supérieur ou égale à 4 ;12,05% étaient Obèses et 32,53% des patientes étaient VIH positif. Le Dolleris-Pellonda a été réalisée dans 51,16% et l’hystérectomie totale à 34,88%. Les récidives ont été enregistrées dans 16,27% des cas. Conclusion: Le prolapsus utérin demeure une réalité dans la pratique médicale dans notre ville. Si plusieurs facteurs de risque sont retrouvés, il sied de retenir également le rôle joué par l’infection à VIH/Sida dans la genèse de cette maladie.
Author Keywords: prolapsus utérin, Hystérectomie, Dolleris-Pellonda, sortie d’organe.
How to Cite this Article
Likilo Osundja Jeremy, Bosenge Nguma Jean Didier, Lemalema Litanga Benjamin, Kyembwa Mulyumba Michel, Taji Leki, Katenga Bosunga, and Komanda Likwekwe, “UTERINE PROLAPSE : PREVALENCE, RISK FACTORS AND MANAGEMENT IN KISANGANI IN DEMOCRATIC REPUBLIC OF CONGO,” International Journal of Innovation and Applied Studies, vol. 22, no. 1, pp. 29–37, December 2017.
