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

Authors

  • L.E. Djanhan Department of Gynecology and Obstetrics, Bouaké University Hospital, Cote d'Ivoire
  • J.M. Dia Department of Gynecology and Obstetrics, Treichville University Hospital, Cote d'Ivoire
  • M.M. Menin Department of Gynecology and Obstetrics, Bouaké University Hospital, Cote d'Ivoire
  • B. Kouamé Department of Gynecology and Obstetrics, Bouaké University Hospital, Cote d'Ivoire
  • E. Bohoussou Department of Gynecology and Obstetrics, Treichville University Hospital, Cote d'Ivoire
  • Y. Samaké Department of Gynecology and Obstetrics, Bouaké University Hospital, Cote d'Ivoire
  • K.P. Kouakou Department of Gynecology and Obstetrics, Bouaké University Hospital, Cote d'Ivoire
  • Y. Doumbia Department of Gynecology and Obstetrics, Bouaké University Hospital, Cote d'Ivoire

Keywords:

Epidemiology, repair, vesico-uterine fistula

Abstract

Aims : To 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. They were treated for Vesico-uterine fistulae during "fistulas surgical caravans" from 1st January 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%.

 

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Published

2018-11-18

How to Cite

Djanhan, L., Dia, J., Menin, M., Kouamé, B., Bohoussou, E., Samaké, Y., Kouakou, K., & Doumbia, Y. (2018). Management of Vesicouterine Fistulae during "Fistulae Surgical Caravan" in Cote D’ivoire. Nepal Journal of Obstetrics and Gynaecology, 13(2), 27–31. Retrieved from https://www.nepjol.info/index.php/NJOG/article/view/21713

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Original Articles