Management Of Vesicouterine Fistulae During "Fistulae Surgical Caravan" in Cote D'ivoire

Authors

  • LE Djanhan
  • JM Dia
  • MM Menin
  • B Kouamé
  • E Bohoussou
  • Y Samaké
  • KP Kouakou
  • Y Doumbia

Keywords:

diagnosis, epidemiology, treatment, vesico-uterine fistula

Abstract

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%.

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Abstract
6030

Published

2018-11-29

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). Retrieved from https://www.nepjol.info/index.php/NJOG/article/view/21890

Issue

Section

CME