Obstetric fistulas treated at the Protestant Schiphra Hospital in Ouagadougou.

Abstract

Objective. To analyze the cases of obstetric fistula treated in this center over a period of five years. Patients and methods. This was a retrospective study that covered the period from January 1, 2017 to December 31, 2021. The variables studied were epidemiological and clinical, and the therapeutic results were assessed after a 12-month follow-up.
Results. Two hundred and sixteen patients were treated during the study period with an average of 43.2 patients per year. The patients were at least 30 years old in 65.3% of cases. The average duration of evolution was 04 years with extremes ranging from less than 01 months to 43 years. The fistula was classified as complex in 73 patients (33.8%). The number of previous cures varied from one to six with an average of 1.6 cures. On discharge from hospital, 190 patients (88.4%) were cured without associated sphincter disorder. Patients with a fistula of less than 2 cm had a 14% greater chance than those with more than 4 cm of being healed (OR: 0.147; p: 0.01). Patients treated within less than a month had a 75% greater chance of having a closed fistula than those treated after more than 12 months (OR: 0.2494; p: 0, 01). Conclusion. Communication campaigns could help reduce the consultation time, which would promote the speed of surgical treatment for the fastest possible reintegration into the family environment.