DOI: 10.36347/sasjs.2023.v09i03.010

Pages: 185-189

The aim of this study was to determine the epidemiological-clinical and therapeutic aspects of MU in children. This was a descriptive cross-sectional study, over a period of 5 years from January 1, 2016 to December 31, 2020 carried out in the urology department at the University Hospital Center "Point-G". We collected a total of 69 cases of malformative uropathy (MU) in children. The frequency was 1.41% of all hospitalizations and 5% of patients operated on during the study period. The sex ratio was 7.6 in favor of the male sex. They were admitted by referral from health personnel in the majority of cases, i.e. 93%. The mean age at diagnosis was 7 years. The circumstances of discovery were ectopic abutment of the urethral meatus (43.5%), pain in the lumbar fossa (23.2%) or bladder globe (10%). Ultrasound was performed in all of our patients, and revealed uropathy in 25.9% of cases. The most common uropathies were hypospadias (42%), pyelo-ureteral junction syndrome (23.2%) and posterior urethral valves (13%). All cases benefited from surgical correction adapted to the type of malformative uropathy. The evolution was without complication in the majority of cases in the 1st postoperative week, i.e. 84% of cases.