TITLE:
Female Genital Fistula Deemed Incurable in a National Obstetric Fistula Reference Center in Niger
AUTHORS:
Idi Nafiou, Abdoulaye Idrissa, Allassane Saley Nana Hadiza
KEYWORDS:
Fistula, FGF, Incurable, Niamey, Niger
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.12 No.10,
October
28,
2022
ABSTRACT: Introduction Female genital fistula remains a global concern especially in incoming
countries. The majority of cases resulted from obstructed delivery labor. The treatment
is by surgery exceptional by probe for very small cases. But some ones remain
incurable after several surgery theaters. The objective of this study is to
establish the epidemiology anatomopathological types and prognosis of FGF
considered being incurable in our center. Methods This is a
retrospective and prospective descriptive study from January 2, 2017 to July 14, 2021 on
incurable cases of female genital fistula recorded at the Centre National de Réparation de Fistule
Obstétricale (CNRFO) of Niamey for complex cases of fgf. The
epidemiology, the lesions of vagina, uretra, bladder, the treatment and prognosis
have been studied. Results A total of 522 cases were operated within 5
cases given incurable (0.95%). The 5 cases were 37 - 49 years old, they had
fistula at their first delivery, the mean age of the fistula was around 9
years. The anatomopathological founds were vaginal severe sclerosis, extensive
supra-trigonal fistula, total ureteral destruction, and partial bladder
destruction. All the 5 patients treated by surgery were declared incurable. Conclusion Female genital fistula is not life-threatening but a major definitive
handicap for theses prim parous. The treatment fail is linked with local
lesions, continuous urine and fecal incontinency, added by iterative surgery.
They remain judged incurable whether a surgery was by skilled practitioner.