Rétrécissements du vagin d’origine caustique. À propos de 21 plasties

Conclusion Les sténoses acquises du vagin d’origine caustique sont fréquentes et constituent un problème de santé publique en rapport avec l’ignorance. Une éducation sanitaire et la mise en place de centres experts avec des échanges d’expériences en Afrique de l’Ouest devrait pouvoir améliorer les résultats. Objective To document epidemiology, causes, anatomical varieties and surgical management outcomes of caustic acquired vagina stenosis. Methodology Retrospective study of 21 patients involved from 1996 to 2012 at the department of obstetrics and gynecology of Yopougon's teaching hospital in Abidjan, Côte d’Ivoire. Vaginal stenosis due to genital malformation, vaginal irradiation of pelvic tumours, repair of bladder and vaginal fistulae or intersexual disorders were excluded. Results The prevalence was 0.14/1000 admissions, mean age was 32.1 years, mean gravidity was 1.76 and mean parity was 1.1. Vaginal stenosis seat and extent were variable and 100 % had a caustic origin by use of traditional medicine vaginal pessaire. Of the patients, 95.2 % underwent surgical treatment followed by several dilations sessions with glass dilators. Successful surgical outcome allowing coitus was achieved in 47.6 % of cases with 52.4 % failure. Conclusion Acquired caustic vagina stenosis are frequently occurring and are a public health problem related to ignorance. Health education and establishment of expert centers with exchange of experiences in West ...
Source: Gynecologie Obstetrique and Fertilite - Category: OBGYN Source Type: research