title: Paediatric urologic pathologies at the national teaching hospital in Cotonou: A etiological and therapeutic aspects.
abstract: BACKGROUND
  Urological pathologies of children are dominated by congenital malformations of the kidneys and urinary tract. Their management is often surgical. The objective of this survey was to study etiological and therapeutic aspects of urological presentations in children.
  
  
  METHODS
  Data for aetiology, treatment, and results in children hospitalized at the Paediatric Surgery service of National Teaching Hospital (CNHU) in Cotonou were retrospectively analyzed from January 1999 to December 2008.
  
  
  RESULTS
  A total of 214 patients with complete data were evaluated. Urological pathologies represented 4.8% of the hospitalizations in paediatric surgery, with an incidence of 21 cases per year. The mean age was 4.9 ± 3.2 years (age 1 week to 14 years). The male to female ratio was 14:14. Cryptorchidism, hydrocele, nephroblastoma, the posterior urethral valves, ureteropelvic junction obstructions, post-circumcision haemorrhage and hypospadias were the most frequent pathologies. Congenital urological malformations represented 81.3%, followed neoplastic pathologies (7.9%), traumatic pathologies (6.1%) and others (4.7%). The disorders of male genitalia were more frequent and constituted 68.2% of the cases. The anomalies of the urinary tract were 30.8% and intersex disorders were 0.9%. The average age of the children urological pathologies at the time of consultation was 8.85 ± 4.6 years. The treatment was often surgical with a mortality of 2.8%.
authors.affiliation: Paediatric Surgery Service of National Teaching Hospital, Cotonou, Benin.
authors.forename: Augustin Karl
authors.initials: AK
authors.lastname: Agossou-Voyeme
authors.forename: Michel Armand
authors.initials: MA
authors.lastname: Fiogbe
authors.forename: Judith
authors.initials: J
authors.lastname: Goundete
authors.forename: Gervais Martial
authors.initials: GM
authors.lastname: Hounnou
authors.forename: René
authors.initials: R
authors.lastname: Hodonou
mesh_terms: D000293:Adolescent; D001541:Benin / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006784:Hospitals, Teaching; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009017:Morbidity / Q000639:trends; D012189:Retrospective Studies; D014570:Urologic Diseases / Q000453:epidemiology* / Q000601:surgery; D013520:Urologic Surgical Procedures / Q000379:methods*