ABSTRACT
Objective: Urethral destruction of obstetric origin is frequent in North Africa. The objective of this study was to evaluate the results of urethral repair by vaginal flap in women affected by urethrovaginal fistulae
Patients and Methods: From January 1998 to December 2001, five patients were subjected to urethroplasty by vaginal flap mobilized from the anterior vaginal wall. The patients' age ranged from 30 to 45 years; all were primiparous with obstetric urethrovaginal fistulae revealed by permanent urinary leakage. The closures were realized in two continuous sutures of PDS 4/0 on a urethral catheter of 16 Fr. The ablation of the catheter was practised on the 10th postoperative day
Results: Urinary continence was achieved in four patients. The remaining patient had stress urinary leakage corrected by colposuspension. Recovery with good results was noted in 80% of the cases
Conclusion: This technique allowed us to achieve an improvement of the quality of urethral repair. Being an easily performed technique, it allows at the same time to achieve elegant, effective and reliable results
ABSTRACT
From our study of the gastric duplications, it result that they are cystic or tubular formations which can communicate with the gastric lumen and their detection often is in infancy. We noted a female prevalence two cases for one male case. The clinical signs which are the most frequently encountered are vomotings, abdominal mass palpation, abdominal pains and, unfrequently a weight loss, an anemia and digestive hemorrhages We frequently find co-existent malformations which essentially are digestive malformations on one hand and vertebral on the other hand The complications increase according the patient's age. they essentially include ulcerations of duplications wall with or without perforation and ulcerations of digestive duct leading to digestive hemorrhanges. The differential diagnosis concerns the real congenital diverticula of the stomach and all the abdominal tumors.we reported the different etio-embryologic theories. They are numerous and no one is completely satisfying. Nevertheless, we think that the "SPLIT NOTOCHORD'S SYNDROM" is the most tempting. Our two gastric Duplications, managed Child Surgery of Rabat U.H.C. during the last years, present clinical, radiological an therapeutic signs which are the most frequently reported literature. Lastly, to recognize a gastric Duplication isn't at the present time an exceptional diagnosis. It constitutes a reality we must take into consideration in infantile abdominal pathology. A best knowledge of this malformation pattern the present time, allows an early surgical management which leads in almost cases to a definitive recovery