Open AccessManagement Of Vesicouterine Fistulae During "Fistulae Surgical Caravan" in Cote D'ivoire
Author(s) -
L.E. Djanhan,
JM Dia,
M M Menin,
B Kouamé,
Eric Bohoussou,
Yacouba Samake,
K. B. Kouakou,
Y Doumbia
Publication year - 2018
Publication title -
nepal journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
eISSN - 1999-9623
pISSN - 1999-8546
DOI - 10.3126/njog.v13i2.21890
Subject(s) - medicine , fistula , surgery , childbirth , uterus , cote d ivoire , caesarean section , genitourinary system , obstetrics , pregnancy , philosophy , genetics , humanities , biology
Aims: Describe the epidemiological, clinical and therapeutic characteristics of patients treated for vesico-uterine fistula.
Methods: This was a case series of 34 patients prospectively collected for descriptive purposes. Theywere treated for Vesico-uterine fistulae during "fistulas surgical caravans" from 1stJanuary 2012 to 31st December 2016.
Results: Vesico-uterine fistulae represented 2.1% of all treated urogenital fistulae. At the time of fistula occurrence, the average age of the patients was 33.3 years, and the majority were illiterate (88.2%), lived in rural areas and were unemployed (73.5%). All the fistulae were associated to childbirth, the majority of which took place on a scarred uterus (67.6%). And this childbirth responsible for the fistula was a delivery done by caesarean section in 97.7% of cases. Average duration of the fistula before management was 6 years. Finally, all the patients were operated by the same surgical technique, made by abdominal extra peritoneal transvesical way. The successful first repair rate was 97.1% in 33 patients. The only case of failure was successfully cured using surgical another technique in a second attempt.
Conclusion: The vesicouterine fistulae were rare, were mostly associated to previous uterus surgical history and the successful rate is almost 100%.