Pattern of Ureteric Pathology Presenting to a Fistula Centre in Western Kenya
Joint Authors
Wanjala, Anthony
Mwangi, Henry
Mabeya, Hillary
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-04-24
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Background.
Ureteric pathology arises from surgical misadventures, trauma, and congenital anomalies.
Early detection and treatment is of the essence.
Objectives.
To determine the types/etiology and outcome of ureteric pathology presenting to Gynocare Fistula Centre, Eldoret, Kenya.
Methods.
Descriptive retrospective study that evaluated patients presenting with ureteric pathology at Gynocare between 1st January 2012 and 31st December 2016.
We pulled out patient charts and extracted and analyzed relevant data using STATA 13E statistical software.
Results.
We analyzed 33 charts, and their age ranged from 10 to 58 years.
Annual proportion for 2012, 2013, 2014, 2015, and 2016 was 2.5%, 2.8%, 1.2%, 1.4%, and 3.0% respectively among all the fistula patients treated in the hospital.
All the patients presented with urinary incontinence, and 7 (21.2%) had flank pain.
Iatrogenic injuries contributed 84.8% (28), and 3 (9.1%) were congenital while trauma and infection had 1 each.
Of those resulting from surgical misadventures, 17 (60.7%) were from obstetric while 11 (39.2%) were from gynecological surgery.
All the injuries were in the distal third of the ureter; 5 were bilateral; and 11 were left sided while 17 were right-sided.
Repair and/or reimplantation was successful in 31 (93.93%) of the patients.
Conclusion.
Highest proportion of ureteric pathologies was accounted for by iatrogenic causes and surgical repair and/or reimplantation has a high success rate.
American Psychological Association (APA)
Wanjala, Anthony& Mwangi, Henry& Mabeya, Hillary. 2018. Pattern of Ureteric Pathology Presenting to a Fistula Centre in Western Kenya. Advances in Urology،Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1123015
Modern Language Association (MLA)
Wanjala, Anthony…[et al.]. Pattern of Ureteric Pathology Presenting to a Fistula Centre in Western Kenya. Advances in Urology No. 2018 (2018), pp.1-4.
https://search.emarefa.net/detail/BIM-1123015
American Medical Association (AMA)
Wanjala, Anthony& Mwangi, Henry& Mabeya, Hillary. Pattern of Ureteric Pathology Presenting to a Fistula Centre in Western Kenya. Advances in Urology. 2018. Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1123015
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1123015