LES URGENCES UROLOGIQUES AU CENTRE HOSPITALIER DE LOUGA, SENEGAL: ASPECTS EPIDEMIOLOGIQUES ET EVALUATION DE LA PRISE EN CHARGE

Abstract

ObjectivesTo present the epidemiological features and to evaluate management of urological emergencies at a district hospital in African countries in the south of Sahara. Patients and methodsThis retrospective study included all urological emergencies admitted between June 1st, 2010 and December 31, 2013 at the emergency department and the department of urology of the regional hospital of Louga, Senegal. ResultsThere were 505 cases of urological emergencies. They represented 15.80% of the urological consultations and 6.52% of all emergencies admitted at the department of the emergencies. Men represented 97.62% of all the cases. The mean age of patients was 59±38 years (range one month and 98 years). Patients of 61 years old and more added up 61.38% of the cases. The urinary retentions were the most frequent emergencies (66.13%). They were primarily caused by prostatic tumors and urethral stenosis. Infectious and traumatic urological emergencies were estimated respectively at 19,80% and 3,36%. In emergency, ten patients refused the treatment, 495 patients accepted. The managements were: installation of a urethral catheter (n=255), extraction of urinary bladder clot (n=06), medical treatment (n=82) and surgical treatment (n=152). During surgery, 170 procedures were performed and 54,70% were a supra-pubic catheter installation. The hospitalization rate of emergencies was 25.54%. There were patients who needed a secondary treatment after the emergency (n=290). Two of them were evacuated elsewhere, ninety seven (n=97) were dropout and 191 patients were treated in our institution. A total of 396 patients were completely followed in our institution. ConclusionThe most frequent urological emergencies in our institution were the urinary retention. They concern men of 61 years old and more. The most frequent procedures performed in emergency room were urethral and supra-pubic catheterization.