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), 2024. Published by Science Publishing Group |
Fistula, Obstetrical, Epidemiological, Clinical, Therapeutic, National Fistula Treatment Centre
| [1] | Camey M. Obstetrical fistulas. Edit. Progress in Urology 1998; Paris 328p. |
| [2] | Couvelaire R. On vesico-vaginal fistulas (point of view). Journal of Urology 1984; 90: 507-508. |
| [3] | Danso K A, Martey J O, Wall LL, Elkins TE The epidemiology of genitor urinary fistulae in Kumasi, Ghana. Int. Urogynecol. J. Pelvic Floor Dysfunct. 1996; 7: 117-120. |
| [4] | OMS the prevention and treatement of obstetric fistula. Reportn of technical working groupe Geneva 17-21 April 1989 WHO/FHE 89.5. |
| [5] | Kambou T, Zango B, Ouattara T A, Dao B, Sano D. Point sur la prise en charge des fistules urogénitales au CHU Souro des Bobo Dioulasso: Etude de 57 cas opérés en deux ans. Médecine d’Afrique Noire 2006 - 53 (12). |
| [6] | P. A. Bouya, W. Itoua Nganongo, D. Lomina, L. H. Iloki. Étude rétrospective de 34 fistules uro-génitales d’origine obstétricale. Gynécologie Obstétrique & Fertilité 30 (2002) 780–783. |
| [7] | Tayler-Smith K, Zachariah R, Manzi M, Van den Boogaard W, Vandeborne A, Bishinga A et al. Obstetric Fistula in Burundi: a comprehensive approach to managing women with this neglected disease, in BMC Pregnancy Childbirth. 2013; Aug 21, 13 (1): 164p. |
| [8] | F. Aristide Kabore, T. Kambou, A Ouattara, B Zongo, C. Yaméogo, B. Kirakoya, J. P. et al. Aspects épidémiologiques, étiologiques et impact psyco-social des fistules uro-génitales dans une cohorte de 170 patientes consécutives, prise en charge dans 3 centres du Burkina Faso de 2010-2012. Progrès en urologie. 24; 2014: 526-32. |
| [9] | KonanPG1, Fofana A1, Kramo NF1, Vodi CC1, Gowe EE1, Dekou AH1, OuegninGA1, ManzanK1, Nigue L1 LES fistules urogenitales dans le service d’urologie du CHU de Cocdy. Aspects évolutifs de 1990 à 2010. Uro-andro; 1 (3) 2015: 157-61. |
| [10] | A. B. Diallo, T. Sy, M. D. Bah, T. M. O. Diallo, M. S. Barry, I. Bah et al, Fistule vésico-vaginales obstétricales en Guinée: analyse des données de trois sites de prise en charge de l’ONG engender health. 2011. Progrès en Urologie. 26, (3): 145-51 |
| [11] | Capes T, Asher-Walsh C, Abdoulaye I, Brodman M, Obstetric Fistula in low and middl-income countries MT sinai J Med 2011; 78: 352- 61. |
| [12] | Gueye SM, Ba M, Sylla C et al. Les fistules vésico vaginales: aspects épidémiologiques et thérapeutiques au Sénégal. J Urol 1992; 98: 148-151. |
| [13] | Waaldijk K. Surgical classification of obstetric fistulas. Inter J Gynaecol Obstet 1995; 49: 161-163. |
| [14] | Kayondo M, Wasswa S, Kabakyenga J, Mukiibi N, Senkungu J, Stenson A et al. Predictors and out come of surgical repair of obstetric fistula at a regional referral hospital, western Uganda, J Urol. 2011; 7: 11-23. |
| [15] | LE Guyader A., Kebe M. Les fistules vésico-vaginales. Méd. Afr. Noire 1977, 475-481. |
| [16] | D. Zoung, Kany, M. Sow. Le point sur les fistules vésico-vaginales à l’Hôpital Central de Yaoundé à propos de 111 cas. |
| [17] | QI Li Ya, Z. Ouattara, K. Ouattara. Traitement des fistules vesico-vaginales à l’Hôpital de Kati – a propos de 34 cas. Médecine d'Afrique Noire: 2000, 47 (3). |
| [18] | K. Ouattara M. L. Traoré C. CIisse Traitement de la fistule vesico-vaginale Africaine (FVV) en Republique du Mali Experience du service d’urologie de l’Hôpital point G Bamako (A propos de 134 cas) Médecine d'Afrique Noire: 1991, 38 (12). |
| [19] | Harouna Y D, Maikano S, Djambeidou J, Sangare. A La fistule vésico-vaginale de cause obstétricale: enquête auprès de 52 femmes admises au village des fistuleuses. Méd. d’Afr. Noire 2001; 48: 57. |
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
Share This Article
Twitter
Linked In
Facebook
Copy
Download@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 -
Information
Email: