ABSTRACT
Objective: To evaluate the prevalence of urinary incontinence, identify its risk factors and describe its effects on the life of women affected by it in an urban area in Burkina Faso
Patients and Methods: This prospective study was carried out between January and April 2003 and was based on interviews with 759 female patients presenting to the Department of Urology, Sanou Souro Teaching Hospital, and five other medical centers in the city of Bobo-Dioulasso. By means of a questionnaire we collected information on socio-demographic patient characteristics, history of previous surgical or gynecological interventions, type of urine loss and the effects of urinary incontinence on the patients' physical, psychological and economical condition
Results: The mean age of the patients was 29,8 years. The majority [63.6%] were housewives, 65.5% of them married. The overall prevalence of urinary incontinence was 21, 3% with a predominance [54, 6%] of stress urinary incontinence. Multivariate analysis of the risk factors [using the logistic regression model] showed that the following risk factors were significantly associated with urinary incontinence: dystocia, repeated urinary tract infections, chronic constipation, episiotomy and obesity. The physical and psycho-social effect of urinary incontinence on the patients is described
Conclusion: Urinary incontinence is frequently encountered in our environment although only few cases are seen in our gynecology and urology departments. A population-based investigation on a national scale will allow for a better judgment of the actual extent of the problem and will help to establish a strategy on how to better control it
ABSTRACT
Objective: To study the epidemiological, clinical and therapeutic aspects of upper urinary tract lithiasis at our department
Material and Methods: This is a retrospective study based on the patients' records and covering the period from January 1, 1992 to December 31, 2002
Results: During a period of 10 years, 110 cases of upper urinary tract calculi out of a total number of 7128 hospitalized patients were seen at our institution, thus constituting 1, 54% of all hospital admissions. The patients' mean age was 35, 49 years [range: one to 75 years], the male to female ratio was 7:1. The main presenting symptom was renal colic followed by lower back pain. Treatment was mainly by open surgery [108 of 109 cases were managed by conventional surgery]. Follow-up was uneventful in all cases with a mean hospital stay of 13, 5 days
Conclusion: Upper urinary tract lithiasis is rarely encountered in our region, but it seems to be in constant progression. We are still obliged to resort to open surgery in most cases, although this method is not the treatment of choice in developed countries any more
ABSTRACT
Objective: This study was carried out among a young population of working men to determine the prevalence of erectile dysfunction [ED] in our environment and to evaluate the patients' knowledge about and attitude towards this problem
Patients and Methods: This study was based on a survey carried out on male subjects aged 18 and above over a period of six months. The survey was done during an annual medical check-up of men working in local companies and some civil servants. Those who agreed to participate in the investigation [855 men], had to complete two questionnaires: the 5-item questionnaire of the International Index of Erectile Function [IIEF-5] evaluating the quality of erectile function and a questionnaire drawn up by our team with the aim of evaluating the participants' knowledge about and their attitude towards the problem of ED. The questionnaires were analyzed using the Epi info program
Results: The 855 subjects that took part in the investigation accounted for 80% of all men that had been asked to participate in the survey. The average age was 37, 4 +/- 9, 1 years; more than two thirds of the participants [78%] were married and 69% were monogamous. The overall prevalence of ED was 47% and we noticed that it increased with age. Three risk factors were identified: age, arterial hypertension and hemorrhoidal disease. Age and arterial hypertension are classic risk factors for ED, while hemorrhoidal disease has so far not been considered as such. In our study, especially for the men interviewed, it has played an important role. 93, 2% of the questioned subjects said that they would be ready to consult for ED, whereas in fact only 3, 8% had taken medical advice
Conclusion: ED appears to be a real problem, also for younger men, in our environment. However the results of this study cannot be generalised and we are planning to undertake other studies based on the general population which will allow us to draw more valid conclusions and to better organize treatment of these patient