Epidemiological, Clinical and Therapeutic Aspects of Vesico-Vaginal Fistulas at Gabriel Touré University Hospital

Purpose: To evaluate the epidemiological, clinical and therapeutic aspects of vesico-vaginal fistulas in the urology department of CHU Gabriel TOURE.

Patients and Methods: This was a retrospective study of the epidemiological, clinical and therapeutic aspects of vesico-vaginal fistulas admitted and treated from January 2016 to December 31, 2021. The variables studied were: Age, gender, ethnicity, profession, clinical appearance, treatment and evolution.

Results: During our study, we recorded 100 cases of vesico-vaginal fistulas. The 21-30 age group was the most represented, with 57% of cases. The mean age of our study was 27.30±8.378 years. Some 29% of patients had undergone 2 fistula cures. In our series, 61% of patients stated that urine loss was permanent. Nearly 33% of our patients were primiparous. Almost all our patients had given birth in a maternity hospital. More than half of our patients had given birth naturally. In our series, 59% of infants were stillborn. In 39% of patients, labor lasted 01 day. In 88% of cases, patients lived in the marital home. The vaginal route accounted for 91% of cases in our sample. Some 53% of patients were dry at the end of treatment.

Conclusion: Our analysis of the situation shows that obstetric fistula is little-known in the community and very poorly perceived by patients. Thus, women with fistula are perceived negatively in the community.

Keywords: Fistula, Bladder, Vagina.