Management of Vesicouterine Fistulae during '' Fistulae Surgical Caravan '' in Cote D'ivoire
Aims: To describe the epidemiological, clinical and therapeutic characteristics of patients treated for vesico-uterine fi stula,
Methods: This was a case series of 34 patients prospectively collected for descriptive purposes. They were treated for Vesico-uterine
fi stulae during ‘‘fi stulas surgical caravans '' from 1st January 2012 to 31st December 2016.
Results: Vesico-uterine fi stulae represented 2.1% of all treated urogenital fi stulae. At the time of fi stula 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 fi stulae were
associated to childbirth, the majority of which took place on a scarred uterus (67.6%). And this childbirth responsible for the fi stula was
a delivery done by caesarean section in 97.7% of cases. Average duration of the fi stula 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 fi rst repair rate
was 97.1% in 33 patients. The only case of failure was successfully cured using surgical another technique in a second attempt.
Conclusions: The vesicouterine fi stulae were rare, were mostly associated to previous uterus surgical history and the successful rate is
Keywords: epidemiology, repair, vesico-uterine fi stula.
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