A B Diallo1, T Sy2, M D Bah3, T M O Diallo3, M S Barry4, I Bah3, T H Barry5, J Blanchot6, C-H Rochat6, M B Diallo3. 1. Service d'urologie-andrologie, CHU de Conakry, BP 615, Conakry, Guinée. Electronic address: abobodiallo@gmail.com. 2. Service de gynécologie-obstétrique, CHU de Conakry, Conakry, Guinée. 3. Service d'urologie-andrologie, CHU de Conakry, BP 615, Conakry, Guinée. 4. Engender Health, Conakry, Guinée. 5. Service de gynécologie-obstétrique, hôpital préfectoral de Kissidougou, Kissidougou, Guinée. 6. Fondation genevoise pour la formation et la recherche médicales (GFMER), Genève, Suisse.
Abstract
OBJECTIVE: To analyze the management of obstetric vesico-vaginal fistula in the three sites of Engender Health in Guinea. PATIENTS AND METHODS: It was a retrospective study of descriptive type having helped collect 450 cases of vesico-vaginal fistulas in three support sites engender health between January 2008 and December 2011. The variables studied were epidemiological, clinical and therapeutic reasons and treatment outcomes were evaluated after a decline of at least six months. RESULTS: The mean age of onset of the fistula was 25years, ranging from 12 to 55years and 58.8% (n=265) of patients were aged between 18 and 30years. The mean duration of fistula was 11years, ranging from 1 to 38years. Eighty-two percent (n=416) of patients were housewives and 66.4% (n=299) off school. The complex fistula with 66% (n=297) was the most frequent. The treatment consisted of a fistulorraphie after splitting vesico-vaginal in 93.3% (n=420) of cases. Therapeutic results considered after a mean of 8months have resulted in a cure in 79.3% (n=357) of cases, improvement in 4.2% (n=19) of cases and failure in 16 4% (n=74) of cases. CONCLUSION: Vesico-vaginal fistula is a major cause of maternal morbidity in Guinea. The establishment of a real health policy based on sound medical and social structures contributes to its eradication. LEVEL OF EVIDENCE: 5.
OBJECTIVE: To analyze the management of obstetric vesico-vaginal fistula in the three sites of Engender Health in Guinea. PATIENTS AND METHODS: It was a retrospective study of descriptive type having helped collect 450 cases of vesico-vaginal fistulas in three support sites engender health between January 2008 and December 2011. The variables studied were epidemiological, clinical and therapeutic reasons and treatment outcomes were evaluated after a decline of at least six months. RESULTS: The mean age of onset of the fistula was 25years, ranging from 12 to 55years and 58.8% (n=265) of patients were aged between 18 and 30years. The mean duration of fistula was 11years, ranging from 1 to 38years. Eighty-two percent (n=416) of patients were housewives and 66.4% (n=299) off school. The complex fistula with 66% (n=297) was the most frequent. The treatment consisted of a fistulorraphie after splitting vesico-vaginal in 93.3% (n=420) of cases. Therapeutic results considered after a mean of 8months have resulted in a cure in 79.3% (n=357) of cases, improvement in 4.2% (n=19) of cases and failure in 16 4% (n=74) of cases. CONCLUSION: Vesico-vaginal fistula is a major cause of maternal morbidity in Guinea. The establishment of a real health policy based on sound medical and social structures contributes to its eradication. LEVEL OF EVIDENCE: 5.
Authors: Michel Mpunga Mafu; Don Félicien Kyongolwa Banze; Brian Tena Tena Aussak; Delphin Kolié; Bienvenu Salim Camara; Dolores Nembunzu; Christine Notia Amisi; Justin Lussy Paluku; Vandana Tripathi; Alexandre Delamou Journal: Trop Med Int Health Date: 2022-07-06 Impact factor: 3.918