TITLE:
Complete Cervico-Uretral Transections: A Vesicovaginal Fistula Not Like the Other
AUTHORS:
Dramane Cisse, Abdoulaye Traore, Honoré Jean Gabriel Berthe, Mory Kone, Modibo Coulibaly, Diamilatou Thiam, Djibril Traoré, Bréhima Traoré, Mamadou Tidiani Coulibaly, Alkadri Diarra, Amadou Kassogue, Moussa Salifou Diallo, Oumar Guindo
KEYWORDS:
Vesicovaginal Fistula, Cervico-Urethral Transection, Urinary Incontinence, Urethra, Bladder
JOURNAL NAME:
Open Journal of Urology,
Vol.11 No.3,
March
17,
2021
ABSTRACT: Introduction: Complete cervico-urethral transection is a vesicovaginal fistula characterized by total disinsertion of the urethra from the bladder. It is a fistula of the cervico-urethral intersection threatening the mechanism of continence. The aim of this study was to describe the epidemiological and therapeutic aspects of this type of fistula. Patients and Methods: This was a descriptive retrospective study on patients who have had surgery for cervico-urethral transection from June 01, 2012 to June 01, 2015. Results: Cervico-urethral transections (n = 76) accounted for 33.77% of all urogenital fistulas admitted to our department of surgery during the study period. The average age was 25.02 ± 8, 6 years. Married patients accounted for 85.58%, 72.36% had not received any classical education. Fistulas less than one year old made up 56.58% of cases, associated lesions were perineal tears 25.0%, vaginal sclerosis, 21.05%, vaginal straps, 13.15%, rectovaginal fistula, 2.63% and the shortness of the urethra less than 2.5 cm in 42.10% of cases. All surgeries were performed vaginally with a 98.68% fistula closure rate and an average of 1.68 surgeries per patient. After closure of the fistula, 10.67% of patients presented a residual urinary incontinence. Conclusion: Complete cervico-urethral transection is a frequent vesicovaginal fistula. She sometimes exposes to urinary incontinence after closing the fistula. The results of his surgery are often good at the cost of multiple intervention.