F Aristide Kaboré1, T Kambou2, A Ouattara2, B Zango3, C Yaméogo3, B Kirakoya3, J-P Franquebalme4, G Eglin4, F Thoreau4, J-L Chuzel4, P Albert4, J-C Alimi4, J-M Colas4, A Bibault4, O Paul4, J Corcos5, G Karsenty6. 1. Service d'urologie-andrologie, CHU Yalgado Ouédraogo, 03 BP 7022, Ouagadougou, Burkina Faso. Electronic address: kaborefamd@icloud.com. 2. Service d'urologie-andrologie, CHU Souro Sanou, BP 676, Bobo-Dioulasso, Burkina Faso. 3. Service d'urologie-andrologie, CHU Yalgado Ouédraogo, 03 BP 7022, Ouagadougou, Burkina Faso. 4. Espoir Femme Enfant-Burkina Faso (EFE-BF - Association : W133014764), 18, boulevard Falques, 13015 Marseille, France. 5. Département d'urologie, université Mc Gill, hôpital Général Juif, 3755, chemin de la Côte-Sainte-Catherine, Montréal, Québec, Canada. 6. Espoir Femme Enfant-Burkina Faso (EFE-BF - Association : W133014764), 18, boulevard Falques, 13015 Marseille, France; Service d'urologie et transplantation rénale, hôpital de la Conception, AP-HM, 147, boulevard Baille, 13385 Marseille cedex 05, France; Aix-Marseille université, 13284 Marseille, France.
Abstract
OBJECTIVE: To describe the socio-demographical aspects, etiologies and psychosocial consequences of urogenital fistula patients (UGF) in Burkina Faso (BF). PATIENTS AND METHODS: Descriptive study of a cohort of consecutive patients during a period of 18 months (December 1st 2010 to August 31st 2012) in three centers of treatment in BF. Each patient has had a standardized complete medical observation focused on sociodemographics, clinical finding, past medical history and etiologies of UGF. Some patients had an interview with a psychologist. RESULTS: One hundred and seventy patients with mean age 35 years (minimum: 16, maximum: 70) were enrolled during the study period. The majority of patients were housewives (90.5%, n=152) and illiterates (92.9%, n=158). Among the patients, 62.4% (n=106) lived in rural zones. Obstetrical fistula was the most common cause of UGF (87.6%, n=149) in our study and prolonged labor occurred in 93.3% (n=139) of cases with 17.5% (n=26) who delivered at home. The majority of our cases were vesico-vaginal fistula (70.6%, n=120). Fifty-five patients (32.4%) were divorced after the fistula. The sensation of humiliation and sadness were noted at all the patients who had a psychological evaluation and 87.5% (n=14) of them have had suicidal ideas. CONCLUSION: The UGF are frequent in Burkina Faso and obstetrical etiology is dominant. The physical and psychosocial repercussions are important for the women victims of this pathology. LEVEL OF EVIDENCE: 4.
OBJECTIVE: To describe the socio-demographical aspects, etiologies and psychosocial consequences of urogenital fistulapatients (UGF) in Burkina Faso (BF). PATIENTS AND METHODS: Descriptive study of a cohort of consecutive patients during a period of 18 months (December 1st 2010 to August 31st 2012) in three centers of treatment in BF. Each patient has had a standardized complete medical observation focused on sociodemographics, clinical finding, past medical history and etiologies of UGF. Some patients had an interview with a psychologist. RESULTS: One hundred and seventy patients with mean age 35 years (minimum: 16, maximum: 70) were enrolled during the study period. The majority of patients were housewives (90.5%, n=152) and illiterates (92.9%, n=158). Among the patients, 62.4% (n=106) lived in rural zones. Obstetrical fistula was the most common cause of UGF (87.6%, n=149) in our study and prolonged labor occurred in 93.3% (n=139) of cases with 17.5% (n=26) who delivered at home. The majority of our cases were vesico-vaginal fistula (70.6%, n=120). Fifty-five patients (32.4%) were divorced after the fistula. The sensation of humiliation and sadness were noted at all the patients who had a psychological evaluation and 87.5% (n=14) of them have had suicidal ideas. CONCLUSION: The UGF are frequent in Burkina Faso and obstetrical etiology is dominant. The physical and psychosocial repercussions are important for the women victims of this pathology. LEVEL OF EVIDENCE: 4.