Peer-reviewed article

Pediatric Urological Emergencies at a Regional Hospital in Burkina Faso: A Series of 28 Cases.

Sawadogo H, Paré AK, Ouattara AK, Ouédraogo F, Ouédraogo B et al. · 30 Jun 2026

Abstract

Background Pediatric urological emergencies are potentially serious conditions that can compromise functional or even vital prognosis if not managed promptly. In sub-Saharan Africa, their true incidence and management modalities remain poorly documented, particularly in regional-level hospitals. This study aims to describe the epidemiological, clinical, therapeutic, and outcome aspects of pediatric urological emergencies managed at the Regional Hospital Center of Dédougou, Burkina Faso. Patients and methods A retrospective descriptive study was conducted from April 1, 2025, to March 31, 2026, in the surgery department of the Regional Hospital Center of Dédougou. All children aged 0 to 15 years admitted for a urological emergency and who received specialized care were included. Results Twenty-eight (28) patients were identified, with a mean age of 8.22 years (range: 0-15 years) and a male-to-female ratio of 27:1. Traumatic emergencies accounted for 42.85% of cases (n = 12), dominated by scrotal trauma (n = 6), including three cases of bovine goring. Functional and vascular emergencies represented 35.7% (n = 10), mainly testicular torsions (n = 6) with a mean consultation delay of 65.3 h and an orchiectomy rate of 66.7% (4/6). Obstructive emergencies accounted for 17.85% (n = 5). Overall outcomes were favorable in all 28 patients, with no mortality recorded. Conclusion In our setting, pediatric urological emergencies are dominated by trauma and are characterized by significant consultation delays. Strengthening community awareness, healthcare worker training, and regulation of traditional practices is essential to improve functional prognosis.