Vesicovaginal Fistulas: Anatomical Clinical and Surgical Aspects in the Conakry University Hospital Center

• 作者: Abdoulaye Bobo Diallo Daouda Kanté Ibrahima Bah Mamadou 2 Barry Mamadou Bobo Diallo Mamadou Diawo Bah Oumar Raphiou Bah Sékou Guirassy Thierno Mamadou Oury Diallo
• 来源期刊: 泌尿学期刊(英文)
• 学科: 医学
• 关键词: Vesico-Vaginal FISTULAS EPIDEMIOLOGY Treatment
• 年，卷（期）: mnxqkyw_2015,（12）
• 页码范围: 224-230
• 页数: 7页
• 分类号: R73

摘要

Objective: To analyze the management of VVF in the Service of Urology-Andrology Obstetrics and Gynecology of the University Hospital in Conakry. Materials and Methods: From January 2012 to December 2013, 152 patients with a mean age of 30 years (14 - 80 years) were hospitalized in the Departments of Urology-Andrology and Gynecology-Obstetrics of the Conakry University Hospital Center. Clinically fistulas were divided according to the classification of Benchekroun as single, complex and complicated. The fistulas were diagnosed after a minimum period of three months and the results were assessed with a mean follow-up of 7 months (range 3 to 10 months) according to the following criteria: complete healing, intermediate healing and failure. Results: Fistulas occur mainly in young multiparous women. The obstetric etiology was dominant (98%). Clinically, there were 30% simple fistulas, 46% complex fistulas and 24% of complicated fistulas. From a therapeutic standpoint, the treatment consisted of a single fistulorraphie (Chassar Moir) in 82% of cases and a fistulorraphie with interposition of healthy tissue in 18% of cases. After a mean follow-up of 7 months we obtained a healing in 62% of cases, a failure in 31% of cases and the results were intermediate in 7% of cases. Conclusion: It appears that the VVF represents a public health concern in Guinea and surgical treatment is technical difficult due to the higher frequency of complex fistulas.