The objective of our study was to report on the epidemiological and etiopathogenic aspects of obstetric fistulas and to evaluate the results of their management at the National Fistula Treatment Centre in N'Djamena (Chad). Patients and Methods: This was a retrospective, descriptive study conducted at the National Fistula Treatment Centre in N'Djamena over a 4-year period from January 2012 to December 2016. Results: The mean age of our patients was 26.38 years with extremes of 12 to 74 years. The majority of our patients were young women aged 12 to 22 years. Of the patients 82.5% resided in rural areas. They were housewives in 88.9% and victims of genital mutilation in 76.8%. 73.6% did not have a prenatal consultation. A vaginal delivery was recorded in 74.9%. Perinatal infant mortality was recorded in 83.2%. Spinal anaesthesia was used in 95.7% of cases. The repair by low way in 93.7%. The success rate in a so-called first-hand fistulas was noted in 88.88%. Conclusion: Obstetrical fistulas is a real public health problem in our countries. Women with fistula are victims of all forms of social exclusion. The most effective means of combating it remains prevention and access to emergency obstetric care.
Published in | International Journal of Clinical Urology (Volume 4, Issue 1) |
DOI | 10.11648/j.ijcu.20200401.18 |
Page(s) | 34-38 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2020. Published by Science Publishing Group |
Fistula, Obstetrical, Epidemiological, Clinical, Therapeutic, National Fistula Treatment Centre
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APA Style
Ache Haroun, Mahamat Ali Mahamat, Saleh Abdel Salam, Haway Cherif, Mohamed Jalloh, et al. (2020). The Epidemiological, Clinical and Therapeutical Aspects of the Vesico-vaginal Fistula at the National Fistula Treatment Center in N'Djamena. International Journal of Clinical Urology, 4(1), 34-38. https://doi.org/10.11648/j.ijcu.20200401.18
ACS Style
Ache Haroun; Mahamat Ali Mahamat; Saleh Abdel Salam; Haway Cherif; Mohamed Jalloh, et al. The Epidemiological, Clinical and Therapeutical Aspects of the Vesico-vaginal Fistula at the National Fistula Treatment Center in N'Djamena. Int. J. Clin. Urol. 2020, 4(1), 34-38. doi: 10.11648/j.ijcu.20200401.18
AMA Style
Ache Haroun, Mahamat Ali Mahamat, Saleh Abdel Salam, Haway Cherif, Mohamed Jalloh, et al. The Epidemiological, Clinical and Therapeutical Aspects of the Vesico-vaginal Fistula at the National Fistula Treatment Center in N'Djamena. Int J Clin Urol. 2020;4(1):34-38. doi: 10.11648/j.ijcu.20200401.18
@article{10.11648/j.ijcu.20200401.18, author = {Ache Haroun and Mahamat Ali Mahamat and Saleh Abdel Salam and Haway Cherif and Mohamed Jalloh and Lamine Niang and Serigne Ma Gueye}, title = {The Epidemiological, Clinical and Therapeutical Aspects of the Vesico-vaginal Fistula at the National Fistula Treatment Center in N'Djamena}, journal = {International Journal of Clinical Urology}, volume = {4}, number = {1}, pages = {34-38}, doi = {10.11648/j.ijcu.20200401.18}, url = {https://doi.org/10.11648/j.ijcu.20200401.18}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcu.20200401.18}, abstract = {The objective of our study was to report on the epidemiological and etiopathogenic aspects of obstetric fistulas and to evaluate the results of their management at the National Fistula Treatment Centre in N'Djamena (Chad). Patients and Methods: This was a retrospective, descriptive study conducted at the National Fistula Treatment Centre in N'Djamena over a 4-year period from January 2012 to December 2016. Results: The mean age of our patients was 26.38 years with extremes of 12 to 74 years. The majority of our patients were young women aged 12 to 22 years. Of the patients 82.5% resided in rural areas. They were housewives in 88.9% and victims of genital mutilation in 76.8%. 73.6% did not have a prenatal consultation. A vaginal delivery was recorded in 74.9%. Perinatal infant mortality was recorded in 83.2%. Spinal anaesthesia was used in 95.7% of cases. The repair by low way in 93.7%. The success rate in a so-called first-hand fistulas was noted in 88.88%. Conclusion: Obstetrical fistulas is a real public health problem in our countries. Women with fistula are victims of all forms of social exclusion. The most effective means of combating it remains prevention and access to emergency obstetric care.}, year = {2020} }
TY - JOUR T1 - The Epidemiological, Clinical and Therapeutical Aspects of the Vesico-vaginal Fistula at the National Fistula Treatment Center in N'Djamena AU - Ache Haroun AU - Mahamat Ali Mahamat AU - Saleh Abdel Salam AU - Haway Cherif AU - Mohamed Jalloh AU - Lamine Niang AU - Serigne Ma Gueye Y1 - 2020/04/30 PY - 2020 N1 - https://doi.org/10.11648/j.ijcu.20200401.18 DO - 10.11648/j.ijcu.20200401.18 T2 - International Journal of Clinical Urology JF - International Journal of Clinical Urology JO - International Journal of Clinical Urology SP - 34 EP - 38 PB - Science Publishing Group SN - 2640-1355 UR - https://doi.org/10.11648/j.ijcu.20200401.18 AB - The objective of our study was to report on the epidemiological and etiopathogenic aspects of obstetric fistulas and to evaluate the results of their management at the National Fistula Treatment Centre in N'Djamena (Chad). Patients and Methods: This was a retrospective, descriptive study conducted at the National Fistula Treatment Centre in N'Djamena over a 4-year period from January 2012 to December 2016. Results: The mean age of our patients was 26.38 years with extremes of 12 to 74 years. The majority of our patients were young women aged 12 to 22 years. Of the patients 82.5% resided in rural areas. They were housewives in 88.9% and victims of genital mutilation in 76.8%. 73.6% did not have a prenatal consultation. A vaginal delivery was recorded in 74.9%. Perinatal infant mortality was recorded in 83.2%. Spinal anaesthesia was used in 95.7% of cases. The repair by low way in 93.7%. The success rate in a so-called first-hand fistulas was noted in 88.88%. Conclusion: Obstetrical fistulas is a real public health problem in our countries. Women with fistula are victims of all forms of social exclusion. The most effective means of combating it remains prevention and access to emergency obstetric care. VL - 4 IS - 1 ER -