Vesicouterine Fistula in Burkina Faso: Report of 36 Cases in a Multicentric Study
Abstract
Objective To report etiological and therapeutic features of vesicouterine fistulas (VUF) in Burkina Faso.
Patients and Methods We performed a retrospective, descriptive, and multicentric study based on the medical
records of women treated for VUF from January 2010 to December 2016.
Results VUF accounted for 7.2% (36/497) of urogenital fistulas managed during the study period. The median
age of the 36 patients was 35 years (interquartile range = 27 to 37.5 years) with values ranging from 16 years to 64
years old. Among VUF, obstetric fistula accounted for 26 cases (26/36) versus 10 cases (10/36) of iatrogenic fistula.
Obstetric VUF were consecutive to emergency Caesarean section (n = 16) and vaginal delivery (n = 10) after
prolonged obstructed labor. The 10 cases of iatrogenic VUF were subsequent to prelabour Caesarean section. The
main circumstance of VUF occurrence was Caesarean section (26/36). In 10 cases (10/36), VUF was associated with a
vesicovaginal fistula. Thirty days after the removal of the catheter, the success rate fell from 89% to 80.6%.
Conclusion VUF is rare but its frequency is not negligible in our context. The main circumstance of occurrence
remains Caesarean section. The best treatment remains prevention.
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