Urological Complications from Obstetrics & Gynaecological Procedures in Ilorin, Nigeria — Case Series

Abstract

Background: Despite the advances and improvement in science and surgical skills, post-surgical operation complications are oftentimes inevitable, although they could be minimized. Generally, complications occur because of several reasons including patient factors, the disease condition, management option, skills and expertise of the managing team as well as technical factors. Analysis of postoperative complications will help to understand their pathogeneses and identify ways of preventing such complications in the future. Aim & Objectives: To retrospectively analyse the urological complications arising from obstetrics and gynaecological procedures atthe University of Ilorin Teaching Hospital, Ilorin, Nigeria. Methodology: Retrospective analysis of available records of patients with urological complications following either obstetrics or gynaecological procedures between the year 2010 — 2012 managed by the urology unit of the University of llorin Teaching Hospital, llorin, Nigeria. The patients were identified from the unit and theatre records. From the patients‘ clinical records, the data retrieved included the biodata, presentation, details of the gynaecological operations (calibre of surgeons, notable events at operations) and the complications that were recorded.The urological interventions and outcomes were also recorded. Results: There were 11 patients with urological complications during the three year period. Their ages ranged from 28 and 65years (mean 43.8 +/-0.05 years), about 60% had hysterectomy for uterine fibroids. Various complications such as urinary fistulae (45.5%), ureteric obstructions (36.5%), retained surgical foreign bodies (9%) and ureteric transection (9%) were recorded. Corrective urological interventions were successful in majority (72.7 %) of them. Conclusion: Urological complications associated with gynaecological and obstetrics procedures are sometimes inevitable but theiroccurrence could be reduced when standard practices are observed.