African Urology
Les urgences urologiques en chirurgie pédiatrique du Centre Hospitalier Universitaire Sylvanus Olympio de Lomé (Togo)
By YA Salhadine, SP Kebalo, A Folly and 9 others.
Abstract
Introduction
Urological emergencies are defined as any injury or abnormality of the urogenital system that poses an immediate threat to the life or function of the urogenital system. The objective of this study was to provide an overview of urological emergencies in paediatric surgery. Materials and Methods: This was a prospective descriptive study covering a period of 5 years and 2 months, from September 1, 2020, to October 30, 2025, in the paediatric surgery department of the Sylvanus Olympio University Hospital in Lomé, Togo. The study included children aged 0 to 15 years who were admitted and treated for a urological emergency.
Results
The incidence of urological emergencies was 5.3%. The mean age of the patients was 4.8 years ± 3.2. Infants accounted for 31.1% (57 cases). There was a male predominance with a sex ratio of 60. Circumcision-related complications were the cause in 25 patients (13.6%). The main reason for consultation was a large, painful scrotum in 99 patients (54.1%). The diagnosis was spermatic cord torsion in 27 patients (14.8%) and a strangulated inguino scrotal hernia in 19 patients (10.4%), and incarcerated inguinoscrotal hernia in 41 patients (22.4%). An orchiectomy was performed in 12 patients (44.4%). Closure of the peritoneovaginal canal was performed in 17 patients (89.5%), and resection and anastomosis in 2 patients (10.5%).