title: [Cystocele: clinical and therapeutic aspects in the Urology Service of the Gabriel Toure University Hospital Center].
abstract: OBJECTIVE
  Determine the aetiologic factors and evaluate the result of our chirurgical treatment.
  
  
  METHODS
  It was about a prospective study done from October 1st 2005 to March 31,2007 on all women seen for urinary discomfort in whom cystocele have been found.
  
  
  RESULTS
  The hospital frequency of cystocele has been 3.54%. The mean age of our patients has been 48 years. In the patient history dystocic delivery have been found in 7 cases (43.75%), foetal macrosomia in 7 cases, chronic constipation in 1 case (6.25%) and 4 patients were menopausal. For the parity 10 patients were big multi pares, 3 were multi pares (18.75%), 2 were pauci pares (12.5%) and 1 were nullius pare. Cystocele were classed 1st degree in 3 patients, 2nd degree in 9 patients (56.25%) and 3rd degree in 4 others (25%). Anterior plasty of the vaginal wall was done in 11 patients (68.75%) and anterior and posterior plasty of the vaginal wall in 5 patients (31.25%). After 6 months, 62.5% of patients have a good anatomic result and 68.75% a good functional result. Anatomic results were bad in 6.25%. Cystocele is frequent in young women in Mali. It is often related to obstetrical trauma. A rapid diagnosis and care will improve the prognosis.
authors: Service de chirurgie pédiatrique du CHU Gabriel Touré, Mali BP 267 Bamako, Mali. coulibalyyacak@yahoo.fr
authors: Y
authors: Y
authors: Coulibaly
authors: Z
authors: Z
authors: Ouattara
authors: M
authors: M
authors: Konate
authors: M
authors: M
authors: Sanogo
authors: B
authors: B
authors: Sinayogo
authors: K
authors: K
authors: Ouattara
mesh_terms: D000328:Adult; D000368:Aged; D052858:Cystocele / Q000453:epidemiology* / Q000209:etiology / Q000601:surgery; D004420:Dystocia; D005260:Female; D005320:Fetal Macrosomia; D006785:Hospitals, University / Q000706:statistics & numerical data; D006801:Humans; D008302:Mali / Q000453:epidemiology; D008593:Menopause; D008875:Middle Aged; D010298:Parity; D056887:Pelvic Organ Prolapse / Q000601:surgery; D011247:Pregnancy; D011446:Prospective Studies; D012720:Severity of Illness Index; D016896:Treatment Outcome; D014555:Urination Disorders / Q000209:etiology; D014621:Vagina / Q000601:surgery; D055815:Young Adult