TITLE:
Epidemiological and Therapeutic Aspects of Obstetric Fistula in 2021: A Review of 97 Cases at the Departmental University Hospital Centre of Borgou and Alibori in Benin
AUTHORS:
Mahublo Vinadou Vodouhe, Jean de Dieu Yunga Foma, Kokou Isidore Gandaho, Mathieu Zéssahou Kakpo, Sèdjro Raoul Atade, Bio Tamou Sambo, Nouessewa Fanny Maryline Hounkponou, Kabibou Salifou
KEYWORDS:
Benin, Epidemiology, Obstetric Fistula, Treatment
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.13 No.6,
June
9,
2023
ABSTRACT: Background: Obstetric Fistula (OF) is a breach of the
birth canal due to obstructed labor. It is a major public health problem in
developing countries. Objective: Study the epidemiology and treatment of
obstetric fistulas at the Departmental
University Hospital Centre of Borgou and Alibori (CHUD-B/A) in Parakou, Benin. Study
Method: This was a descriptive and analytical cross-sectional study with
prospective data collection on women
treated during OF care missions from
February 2020 to April 2021 in CHUD-B/A in Parakou, Benin. The data concerned their
socio-demographic characteristics, obstetric history, the clinic and therapeutic
characteristics of their obstetric fistulas. Results: In total 97 patients with
OF were treated during the 14-month period. The average age of the
patients was 36.42 ± 11.75 years old. The patients were married (51.54%), without professional occupation (54.64%) and had no
formal education (73.20%). The vesico-vaginal variety was predominating (54.64%).
The fistulas were of Type I (46.39%), Type II (20.62%) and Type III (32.99%)
according to the classification of Waaldjik Kees. The patients were operated on under spinal anesthesia (94.79%), and vaginally (55.67%) according to the principle
of Chassar Moir (68, 60%). The associated procedures were lengthening urethroplasty
(17.53%), and interposition of the
Martius flap (1.03%). The overall success rate without Stress Urinary
Incontinence was 71.13%. The factors associated with the failure of the fistula
repair were: the nutritional status of the patients (p = 0.004), the previous
repair failure (p = 0.001), the high size of
the fistula (p = 0.007), the fistula severity (p and a urethral reconstruction (p Conclusion: OF is a relatively frequent pathology in
Benin. Vesico-vaginal fistula is the most common form. The success rate of the
surgical treatment is satisfactory, but depends on some factors.