Devenir de la pose de la sonde double J pour obstruction du haut appareil urinaire : Etude documentaire d’une série des cas du Centre National Hospitalo-Universitaire Hubert Koutoukou Mage à Cotonou, Benin: Outcome of the installation of the double J probe for upper urinary tract obstruction: A case series from the Hubert Koutoukou Mage National University Hospital, Cotonou, Benin

Context and objective. The double J catheter is widely used nowadays in the drainage of upper tract urine. The objective of the present study was to describe the outcome of double J probe. Methods. This was a retrospective study of serial cases of patients who underwent upper tract urinary drainage...

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Veröffentlicht in:Annales africaines de mâedecine 2023-05, Vol.16 (2), p.e5104-e5108
Hauptverfasser: Hodonou, Fred, Maheshe, Chamutu, Muhindo, Moïse Valimungighe, Dodji, Magloire Ines Yevi, Gandaho, Isidore, Agounkpe, Michel Michael, Hadidjatou, Ouake, Dejinnin, Josué Georges Avakoudjo
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Sprache:eng
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Zusammenfassung:Context and objective. The double J catheter is widely used nowadays in the drainage of upper tract urine. The objective of the present study was to describe the outcome of double J probe. Methods. This was a retrospective study of serial cases of patients who underwent upper tract urinary drainage with a double J probe, at the Centre National Hospitalo-Universitaire Hubert Koutoukou Maga in Cotonou, Benin, between April 1st, 2018 and March 31st, 2021. Results. Records of 103 patients were reviewed. Double J catheterization accounted for 84.74 % of all upper urinary tract shunts. The average age of patients was 48.46 years and men were in the majority (58.31 %). The placement of the double J catheter was unilateral in 76.74 % of cases with a predominance of the right (56.06 %). The endoscopic approach for the placement of the double J catheter was the most common (89.32 %). In 73.78 % of patients, the double J tube was inserted without fluoroscopic guidance (blind) and the average duration of the double J tube after placement was 118.37 days. Kidney reduction (eGFR < 60 mL/minute/1.75 m2) was found in 33.01 % of patients. The etiologies underlying upper urinary tract obstruction were dominated by lithiasis of the upper urinary tract (63.10 %). The success rate of double J catheterization was 77.66 %. The failures of the double J catheter were due to tumor pathologies in 15.53 %. The average length of hospitalization after endoscopic double J tube placement was 7.72 days. Conclusion. The obstructive syndrome of the upper urinary tract, especially of lithiasis origin, remains the most important indication for the use of the double J catheter. Its realization without fluoroscopic guidance (blind) is possible in the environment lacking an image intensifier. Contexte et objectifs. La sonde double J est très utilisée de nos jours dans le drainage des urines du haut appareil. L’objectif de la présente étude était de décrire le devenir de la pose de la sonde double J. Méthodes. Il s’est agi d’une étude documentaire d’une série des cas ayant bénéficié d’un drainage urinaire du haut appareil par une sonde double J au Centre National Hospitalo-Universitaire Hubert Koutoukou Maga de Cotonou, Bénin ; entre les 1er avril 2018 et 31 mars 2021. Résultats. Les dossiers de cent trois patients (âge moyen 48,4 ans, sexe masculin, 58,3 %) ont été colligés. La pose de la sonde double J représentait 84,74 %. La pose de la sonde double J était unilatérale dans 76,7 % des cas avec
ISSN:2309-5784
2313-3589
DOI:10.4314/aamed.v16i2.9