Open AccessThe pattern of non-obstetric fistula: A Cameroonian experience
Author(s) -
Pierre-Marie Tebeu,
Eric Brice Touka,
Yvette Nkene Mawamba,
Calvin Tiyou,
Joseph Nelson Fomulu,
Charles-Henry Rochat
Publication year - 2014
Publication title -
asian pacific journal of reproduction
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.167
H-Index - 17
eISSN - 2305-0519
pISSN - 2305-0500
DOI - 10.1016/s2305-0500(14)60032-4
Subject(s) - fistula , medicine , context (archaeology) , sex organ , obstetrics and gynaecology , hysterectomy , gynecology , general surgery , obstetrics , surgery , pregnancy , biology , paleontology , genetics
Objective: To investigate the pattern of Non-obstetrical genital fistula (NOGF) in Cameroonian context.Materials and methods: This was a cross-sectional analytic study, with two groups of patients, including those treated for non-obstetrical fistula as subject, and their obstetrical counterparts as the control. Data were retrieved from the obstetric fistula database of the Department of Obstetrics and Gynecology in the University Teaching Hospital of Yaoundé Cameroon for patients operated from January, 1, 2009 to December 31, 2012.Results: NOGF represented 19.78% of genital fistula. Uro-genital fistula (UGF) represented 72.20% while non-obstetrical genito-digestive fistula (GDF) represented 27.80% of NOGF. The main cause of UGF was hysterectomy (46.15%) while the main cause of genito-digestive fistula was vaginal infections (40.00%). Most patients had never been operated before their arrival in the YUTH (84.60% for UGF and 60.00% for GDF). We had one failure at first surgical attempt.Conclusion: UGF fistula is the main type of NOGF in Cameroonian context, with hysterectomy being the leading cause. Proper knowledge on NOGF will enable better strategies to fight against genital fistula