TITLE:
Vesicovaginal Fistulas: Anatomical Clinical and Surgical Aspects in the Conakry University Hospital Center
AUTHORS:
Abdoulaye Bobo Diallo, Thierno Mamadou Oury Diallo, Ibrahima Bah, Mamadou Diawo Bah, Mamadou 2 Barry, Daouda Kanté, Oumar Raphiou Bah, Sékou Guirassy, Mamadou Bobo Diallo
KEYWORDS:
Vesico-Vaginal Fistulas, Epidemiology, Treatment
JOURNAL NAME:
Open Journal of Urology,
Vol.5 No.12,
December
18,
2015
ABSTRACT: Objective: To analyze the management of VVF
in the Service of Urology-Andrology Obstetrics and Gynecology of the University
Hospital in Conakry. Materials and Methods: From January 2012 to December 2013,
152 patients with a mean age of 30 years (14 - 80 years) were hospitalized in
the Departments of Urology-Andrology and Gynecology-Obstetrics of the Conakry
University Hospital Center. Clinically fistulas were divided according to the
classification of Benchekroun as single, complex and complicated. The fistulas
were diagnosed after a minimum period of three months and the results were
assessed with a mean follow-up of 7 months (range 3 to 10 months) according to
the following criteria: complete healing, intermediate healing and failure.
Results: Fistulas occur mainly in young multiparous women. The obstetric
etiology was dominant (98%). Clinically, there were 30% simple fistulas, 46%
complex fistulas and 24% of complicated fistulas. From a therapeutic
standpoint, the treatment consisted of a single fistulorraphie (Chassar Moir)
in 82% of cases and a fistulorraphie with interposition of healthy tissue in
18% of cases. After a mean follow-up of 7 months we obtained a healing in 62%
of cases, a failure in 31% of cases and the results were intermediate in 7% of
cases. Conclusion: It appears that the VVF represents a public health concern
in Guinea and surgical treatment is technical difficult due to the higher
frequency of complex fistulas.