TITLE:
Obstetrical Fistula: Clinical, Therapeutic and Prognostic Aspects at the Gynecology and Obstetrics Department of Borgou University Hospital Center in Benin
AUTHORS:
Kabibou Salifou, Adrien Dayi, Fanny Hounkponou, Sambo Tamou, Imorou Rachidi Sidi, Eusèbe Alihonou
KEYWORDS:
Obstetric Fistula, Continence, Hysterorrhaphy, Vesico-Uterine Fistula, Benin
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.8 No.11,
September
27,
2018
ABSTRACT: Introduction: Obstetric Fistula (OF) is a tragedy and a public health problem
(physical, social, moral and psychological). Objective: To determine the
clinical, therapeutic and prognostic aspects of obstetric fistula at CHUD/B-A
maternity ward in 2016. Study Method: This is a descriptive, analytic
study with prospective data collection from March 07 to December 31, 2016. Patients
with obstetric fistula were the study population. Results: A total of 37
patients were treated including 35 operated, the other two not operated for
pyuria and bladder calculus after examination under spinal anesthesia. The
average age was 36.6 ± 10.5 years with the extremes of 21 years and 65 years.
The mean age of onset of Obstetric Fistula (OF) was 28.9 ± 6.5 years. Patients
came from southern Benin (51.4%), were married (67.6%), peasant (35.1%) and out
of school (81.1%). The types of OF were vesico-vaginal fistula (VVF) (62.2%),
urethro-vaginal fistula (24.3%), vesico-uterine fistula (VUF) (5.4%), and
uretero-vaginal fistula (2.7%). The fistula site was supra trigonal (54.1%),
urethral (18.9%), trigonal (10.8%), vesico-uterine (10.8%), cervical urethral
(2.7%), ureteroid vaginal (2.7%). Fistulas were complex (70.3%), complicated
(24.3%) and simple (5.4%). The vaginal route was one of the first routes (64.9%). The operative techniques used were
CHASSAR MOIR hysterorrhaphy (74.3%). The cure with continence was 68.6%. Conclusion: OF is observed in young women of childbearing age. VVF is
the most common. The management is surgical
with several operating techniques. Healing is possible. Hence the importance of
paying special attention to these patients for their care.