Management of Vesicouterine Fistulae during '' Fistulae Surgical Caravan '' in Cote D'ivoire

  • LE Djanhan Department of Gynecology and Obstetrics, Bouaké University Hospital
  • JM Dia Department of Gynecology and Obstetrics, Treichville University Hospital
  • MM Menin Department of Gynecology and Obstetrics, Bouaké University Hospital
  • B Kouamé Department of Gynecology and Obstetrics, Bouaké University Hospital
  • E Bohoussou Department of Gynecology and Obstetrics, Treichville University Hospital
  • Y Samaké Department of Gynecology and Obstetrics, Bouaké University Hospital
  • KP Kouakou 1Department of Gynecology and Obstetrics, Bouaké University Hospital
  • Y Doumbia Department of Gynecology and Obstetrics, Bouaké University Hospital

Abstract

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
almost 100%.
Keywords: epidemiology, repair, vesico-uterine fi stula.

Published
Jan 21, 2019
How to Cite
DJANHAN, LE et al. Management of Vesicouterine Fistulae during '' Fistulae Surgical Caravan '' in Cote D'ivoire. Nepal Journal of Obstetrics and Gynaecology, [S.l.], v. 13, n. 2, p. 27-31, jan. 2019. ISSN 1999-8546. Available at: <http://njog.org.np/njog/index.php/njog/article/view/948>. Date accessed: 18 apr. 2019.
Section
Original Articles