Department of Gynaecology and Obstetrics, Faculty of Medicine, University Notre-Dame of Kasayi, Central Kasaï, Democratic Republic of the Congo.
Department of Gynaecology and Obstetrics, Faculty of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of the Congo.
Pan Afr Med J. 2020 Oct 29;37:196. doi: 10.11604/pamj.2020.37.196.21818. eCollection 2020.
The aim of the study was to describe the epidemiological, clinical and therapeutical profile of genital prolapse in the gynecology and obstetrics service of Saint Joseph Hospital of Kinshasa. This is a descriptive study carried out from medical files of patients who have suffered from genital prolapse in the gynecology and obstetrics service of Saint Joseph Hospital from January 1, 2008 to December 31, 2017. It is based on the no probabilistic sampling of suitability. We recorded 161 cases of genital prolapses upon 13957 patients. The genital prolapses frequency was 1.2% with an annual average of 16.1 cases (SD 10.1) per year. The symptomatology consisted of pelvic mass associated with urinary and digestives troubles (94.0%, n=140). The stage III of cysto-colpocele was the most frequent (56.0%, n=82). The vaginal hysterectomy associated to rectocele and cystocele cure was the most performed operation (52.0%, n=69). The recurrence rate was of 2.0% (3 out of 148 cases). The genital prolapse really exist in our milieu, its symptomatology is classical and its treatment is mostly surgical by vaginal access.
本研究旨在描述金沙萨圣若瑟医院妇产科中生殖器脱垂的流行病学、临床和治疗特征。这是一项描述性研究，基于 2008 年 1 月 1 日至 2017 年 12 月 31 日期间在圣若瑟医院妇产科就诊的生殖器脱垂患者的病历。研究采用适合性的非概率抽样。我们共记录了 161 例生殖器脱垂患者，占 13957 例患者的 1.2%，年平均发病率为 16.1 例（SD 10.1）。症状包括盆腔肿块伴泌尿系统和消化系统疾病（94.0%，n=140）。最常见的是 III 期膀胱直肠膨出（56.0%，n=82）。阴道子宫切除术联合直肠膨出和膀胱膨出修复术是最常进行的手术（52.0%，n=69）。复发率为 2.0%（3 例/148 例）。生殖器脱垂在我们的环境中确实存在，其症状典型，治疗主要通过阴道途径进行手术。
