Obstetric vesico-vaginal fistula in Guinea: analysis of data from two site of care

Abstract

Aim : To evaluate the results of the management of obstetric vesicovaginal fistulas at the department of urology in partnership with WAHA International Conakry.

Patients and methods :  A retrospective and descriptive study of 1 year and 8 months, from december 13th, 2003 to august 20th, 2015 was done in the structure of Ignace Deen national hospital, the clinic of Guinean Association against obstetric vesicovaginal fistula (AGFO) and mother-child health center SMI).

Results: Vesicovaginal fistula usually occured in young women aged 25-34 years old (40.2%) ; illiterate patients were the most concern with 80.5%. More than 1/3 of our patients did not have a prenatal consultation (48%), had a labor duration of more than 48 hours. Most of them delivered at the hospital (58.6%). The vaginal delivery was the most common way (67.8%). Complex fistulas were the most encountered cases (50.57%) ; the vaginal surgical approach was the most used (92%) ; the healing rate was 75.9%.

Conclusion: This series showed that obstetric vesicovaginal fistula is a common pathology concerning women in childbearing age from disadvantaged areas. Complex fistulas were the most observed. A surgical treatment consisting of a simple repair of the fistula without flaps permit to obtain a healing rate of 75.9% The best treatment of obstetric fistulas is based on prevention.