Urological problems among women with major gynecological surgeries at a tertiary hospital in Port Harcourt, Nigeria.
Department of Surgery, University of Port Harcourt Teaching Hospital (UPTH), Port Harcourt, Nigeria.
2 Department of Obstetrics and Gynecology, Rivers State University Teaching Hospital, Port Harcourt, Nigeria.
Research Article
World Journal of Advanced Research and Reviews, 2023, 17(03), 762–768
Article DOI: 10.30574/wjarr.2023.17.3.0452
Publication history:
Received on 09 February 2023; revised on 15 March 2023; accepted on 18 March 2023
Abstract:
Introduction: Urological problems are common in women, especially those undergoing surgeries, due to the proximity of the urinary tract and the reproductive tract. This study aims to present the complications of major gynecological surgeries in our institution.
Materials and Methods: This study reviewed sixty-one case notes of patients who had gynecologic surgeries at Rivers State University Teaching Hospital, Port Harcourt. The data were analyzed using SPSS, and the results were presented in tables and charts.
Results: The mean age of the patients was 38.51 years. Forty-eight (78.7%) had myomectomy; 8.2% total had an abdominal hysterectomy with bilateral salpingo-oophorectomy (TAH+BSO); and 4.9% had ovarian cystectomy. Those with pelvic tumors were 78.7%, and tumors with hypertension were 14.8%. Eight patients (13.1%) had urinary tract infections, while 7 (11.5%) had abnormal abdominal ultrasound findings, and 3.3% had abnormal renal function with serum creatinine above 120 micromoles per liter. Urinary tract infections were the most common urological problem among the women. Risk factors for urological problems were pelvic tumors (mostly uterine fibroids), hypertension, previous pelvic surgeries, and uterovaginal prolapse. Seven patients had lower urinary tract symptoms. Frequency of micturition and dysuria were the most common urinary tract symptoms.
Conclusion: The most common lesions were urinary tract infections. Findings made here differ from those of other studies in which findings were mostly of iatrogenic urological injuries. The most common risk factors were pelvic tumors which caused mechanical obstruction to the urine flow. Early detection and treatment of pelvic tumors and hypertension are advocated in this population.
Keywords:
Urological problems in women; Risk factors; Major gynecological surgeries; Port Harcourt; Nigeria
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