Open AccessVesicouterine Fistula in Burkina Faso: Report of 36 Cases in a Multicentric Study
Author(s) -
Boukary Ouédraogo,
Brahima Kirakoya,
Moussa Kaboré,
Adama Millogo,
Adama Ouattara,
Fulgence Kaboré
Publication year - 2021
Publication title -
société internationale d'urologie journal
Language(s) - English
Resource type - Journals
ISSN - 2563-6499
DOI - 10.48083/nfmo2987
Subject(s) - caesarean section , medicine , obstetrics , context (archaeology) , etiology , gynecology , pregnancy , fistula , surgery , biology , paleontology , genetics
Objective: To report etiological and therapeutic features of vesicouterine fistulas (VUF) in Burkina Faso.Patients and Methods: We performed a retrospective, descriptive, and multicentric study based on the medical records of women treated for VUF from January 2010 to December 2016.Results: VUF accounted for 7.2% (36/497) of urogenital fistulas managed during the study period. The median age of the 36 patients was 35 years (interquartile range = 27 to 37.5 years) with values ranging from 16 years to 64 years old. Among VUF, obstetric fistula accounted for 26 cases (26/36) versus 10 cases (10/36) of iatrogenic fistula.Obstetric VUF were consecutive to emergency Caesarean section (n = 16) and vaginal delivery (n = 10) after prolonged obstructed labor. The 10 cases of iatrogenic VUF were subsequent to prelabour Caesarean section. The main circumstance of VUF occurrence was Caesarean section (26/36). In 10 cases (10/36), VUF was associated with avesicovaginal fistula. Thirty days after the removal of the catheter, the success rate fell from 89% to 80.6%.Conclusion: VUF is rare but its frequency is not negligible in our context. The main circumstance of occurrence remains Caesarean section. The best treatment remains prevention.