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Epidemiological, Therapeutics Aspects and Socioeconomics Consequences of Urogenital Fistula

Received: 6 October 2021     Accepted: 25 October 2021     Published: 11 December 2021
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Abstract

Introduction: The aim of this study was to analyze epidemiological, therapeutics aspects and socioeconomics consequences of this disease. Material and methods: Retrospective study realized in our service from 1er January 2016 to 30 May 2018. All managed UGF were enrolled. Results: 147 cases of UGF were enrolled accounting for 20, 41% of our activities. Mean age: 34, 06±21, 81. The majority of patients came from SKO rural area and 98, 63% of them are housewife doing no rewarded jobs. Obstetrics fistula was predominant with prolonged obstructed labor as the main etiology. Urine leakage was the main reason for seeking consultation. Simple fistulorraphy under loco regional anesthesia has been performed and the result was globally good (78%). HUC Point G classification have been adopted for fistula description. There is an appropriate surgical abscess way for every type of fistula and this study showed a significant difference between different type of fistula in term of surgical operation length, number of surgery and therapeutic prognostic. Conclusion: UGF remains a public health problems. Girl’s socioeconomic life promotion, Education and raising awareness against some bad traditional practice and skilled obstetric facilities attendance could be helpful for prevention. Standard classification seem to be necessary in the way to help in surgeon training and objectively evaluate our result.

Published in American Journal of Biomedical and Life Sciences (Volume 9, Issue 6)
DOI 10.11648/j.ajbls.20210906.18
Page(s) 315-320
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Obstetric Fistula, Urine Leakage, Anatomopathologic Classification, Fistulorraphy

References
[1] Hilton P, W ard A. Epidemiological and surgical aspects of urogenital fistula: A review of 25 Years’ experience in south west Nigeria. Int urogynecol J Pelvic floor dysfunct 1998; 9: 189-94.
[2] Tancer ML. Observation on prevention and management of vesico-vaginal fistula after Total hysterectomy. Surg Gynecol obst 1992; 175: 501.
[3] Odusogo Ol, Oleyede OAO, Fakaya TA et al. Obstetric vesico-vaginal fistulae in Sagamu. Nig Med Pract 2001; 39: 73-75.
[4] Cottingham J and Royston Obstetric fistula. Review of available information. Geneva, world health organization 1991 (Maternal Health and safe motherhood Prog /39P).
[5] United nations population funds UNFPA campaign to end fistula. Available: http/www.unfpa.orgfistula/index.htm UNFPA Accessed oct8; 2006.
[6] Wassata B Ekelye. Les fistules vesicovaginales colliges en 5ans au CHNYO: aspects Épidémiologiques et thérapeutiques [Vesicovainal fistula colleged in 5yaers at CHNYO: epidemiological and therapeutic aspects]. Thèse de médecine Ouagadougou No: 0231 1992.
[7] T Anoukoun KK Attipa, LK Agoda Koussema et al. Aspects épidémiologique, étiologique et Thérapeutique de la fistule obstétricale au Togo [epidemiologic, etiologic and therapeutic aspects of obstetric fistula in Togo]. Progrès en urologie 2010; 20 (1): 71-76.
[8] Mela GS, Massa AA, Yahaya UR et al. Risk factors for obstetric fistula in north eastern Nigeria. Journal of obstetrics and Gynecology 2007; 27: 819-23.
[9] Mabeya M, Hilary A. Characteristics of women with obstetric fistula in rural hospital.
[10] West Pokot Kenya. http///www.gfmer.edu/Medical education En/PGC RH 2004/Pdt Mabeya fistulapdf.
[11] Sims JM. On the treatment of vesicovaginal fistula 1852. Int Urogynecol Pelvic floor Dysfunct 1998; 9: 236-8.
[12] Yarmohamadi A. Salvage repair of vesicovaginal fistula. Urol J 2011; 8: 201.
[13] Farabut YA. Application of small intestinal sub mucosa graft for repair of complicated vesicovaginal fistula. A pilot study J Urol 2012; 188: 86.
[14] Punekar SV, Prem AR, Kelkar AR. Repair of complex vesicovaginal fistula using peritoneal Flap interposition: a different design. Indian J Urol 1997; 14: 24-8.
[15] Khumaya AA, Ahmed R, Anjun R. The role of peritoneum as interposition tissue in the Management of vesicovaginal fistula. J Surg Pak 2005; 10: 2-4.
[16] Waaldjik K. The surgical classification of obstetric fistula. Edinburgh Scotland Campion Press limited 1994 103P.
[17] Camey M. Données générales In les fistules vesicovaginales [Genaral data on vesicovaginal fistula]. Camey M (ed) Paris 1998 PP: 1-14.
[18] Benchekroun A, Lakrissa A, Essakalli H et al. Fistule vesico-vaginale. A propos de 600cas [Vesico vaginal fistula: about 600cases]. J Urol 1987; 93: 151-58.
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    Salifou I. Traore, Ousmane Dembélé, Soumaila A. Traore, Aly B. Diallo, Malla Sylla, et al. (2021). Epidemiological, Therapeutics Aspects and Socioeconomics Consequences of Urogenital Fistula. American Journal of Biomedical and Life Sciences, 9(6), 315-320. https://doi.org/10.11648/j.ajbls.20210906.18

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    ACS Style

    Salifou I. Traore; Ousmane Dembélé; Soumaila A. Traore; Aly B. Diallo; Malla Sylla, et al. Epidemiological, Therapeutics Aspects and Socioeconomics Consequences of Urogenital Fistula. Am. J. Biomed. Life Sci. 2021, 9(6), 315-320. doi: 10.11648/j.ajbls.20210906.18

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    AMA Style

    Salifou I. Traore, Ousmane Dembélé, Soumaila A. Traore, Aly B. Diallo, Malla Sylla, et al. Epidemiological, Therapeutics Aspects and Socioeconomics Consequences of Urogenital Fistula. Am J Biomed Life Sci. 2021;9(6):315-320. doi: 10.11648/j.ajbls.20210906.18

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  • @article{10.11648/j.ajbls.20210906.18,
      author = {Salifou I. Traore and Ousmane Dembélé and Soumaila A. Traore and Aly B. Diallo and Malla Sylla and Amadou Maiga and Moussa Kanté and Layes Toure and Bathio Traore and Moussa Diassana and Ternan Traore and Abdou Dolo and Seydou Ouattara},
      title = {Epidemiological, Therapeutics Aspects and Socioeconomics Consequences of Urogenital Fistula},
      journal = {American Journal of Biomedical and Life Sciences},
      volume = {9},
      number = {6},
      pages = {315-320},
      doi = {10.11648/j.ajbls.20210906.18},
      url = {https://doi.org/10.11648/j.ajbls.20210906.18},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajbls.20210906.18},
      abstract = {Introduction: The aim of this study was to analyze epidemiological, therapeutics aspects and socioeconomics consequences of this disease. Material and methods: Retrospective study realized in our service from 1er January 2016 to 30 May 2018. All managed UGF were enrolled. Results: 147 cases of UGF were enrolled accounting for 20, 41% of our activities. Mean age: 34, 06±21, 81. The majority of patients came from SKO rural area and 98, 63% of them are housewife doing no rewarded jobs. Obstetrics fistula was predominant with prolonged obstructed labor as the main etiology. Urine leakage was the main reason for seeking consultation. Simple fistulorraphy under loco regional anesthesia has been performed and the result was globally good (78%). HUC Point G classification have been adopted for fistula description. There is an appropriate surgical abscess way for every type of fistula and this study showed a significant difference between different type of fistula in term of surgical operation length, number of surgery and therapeutic prognostic. Conclusion: UGF remains a public health problems. Girl’s socioeconomic life promotion, Education and raising awareness against some bad traditional practice and skilled obstetric facilities attendance could be helpful for prevention. Standard classification seem to be necessary in the way to help in surgeon training and objectively evaluate our result.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Epidemiological, Therapeutics Aspects and Socioeconomics Consequences of Urogenital Fistula
    AU  - Salifou I. Traore
    AU  - Ousmane Dembélé
    AU  - Soumaila A. Traore
    AU  - Aly B. Diallo
    AU  - Malla Sylla
    AU  - Amadou Maiga
    AU  - Moussa Kanté
    AU  - Layes Toure
    AU  - Bathio Traore
    AU  - Moussa Diassana
    AU  - Ternan Traore
    AU  - Abdou Dolo
    AU  - Seydou Ouattara
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    N1  - https://doi.org/10.11648/j.ajbls.20210906.18
    DO  - 10.11648/j.ajbls.20210906.18
    T2  - American Journal of Biomedical and Life Sciences
    JF  - American Journal of Biomedical and Life Sciences
    JO  - American Journal of Biomedical and Life Sciences
    SP  - 315
    EP  - 320
    PB  - Science Publishing Group
    SN  - 2330-880X
    UR  - https://doi.org/10.11648/j.ajbls.20210906.18
    AB  - Introduction: The aim of this study was to analyze epidemiological, therapeutics aspects and socioeconomics consequences of this disease. Material and methods: Retrospective study realized in our service from 1er January 2016 to 30 May 2018. All managed UGF were enrolled. Results: 147 cases of UGF were enrolled accounting for 20, 41% of our activities. Mean age: 34, 06±21, 81. The majority of patients came from SKO rural area and 98, 63% of them are housewife doing no rewarded jobs. Obstetrics fistula was predominant with prolonged obstructed labor as the main etiology. Urine leakage was the main reason for seeking consultation. Simple fistulorraphy under loco regional anesthesia has been performed and the result was globally good (78%). HUC Point G classification have been adopted for fistula description. There is an appropriate surgical abscess way for every type of fistula and this study showed a significant difference between different type of fistula in term of surgical operation length, number of surgery and therapeutic prognostic. Conclusion: UGF remains a public health problems. Girl’s socioeconomic life promotion, Education and raising awareness against some bad traditional practice and skilled obstetric facilities attendance could be helpful for prevention. Standard classification seem to be necessary in the way to help in surgeon training and objectively evaluate our result.
    VL  - 9
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Author Information
  • Service of Urology, Sikasso Hospital, Sikasso, Republic of Mali

  • Service of Urology, Sikasso Hospital, Sikasso, Republic of Mali

  • Service Gyneco-obstétric, Sikasso Hospital, Sikasso, Republic of Mali

  • Service of General Surgery, Sikasso Hospital, Sikasso, Republic of Mali

  • Service Gyneco-obstétric, Sikasso Hospital, Sikasso, Republic of Mali

  • Service of General Surgery, Sikasso Hospital, Sikasso, Republic of Mali

  • Service Anaesthesia and Resuscitation, Sikasso Hospital, Sikasso, Republic of Mali

  • Service of Traumatology, Sikasso Hospital, Sikasso, Republic of Mali

  • Service of General Surgery, Sikasso Hospital, Sikasso, Republic of Mali

  • Service of General Surgery, Sikasso Hospital, Sikasso, Republic of Mali

  • Service of Traumatology, Sikasso Hospital, Sikasso, Republic of Mali

  • Service of Nephrology, Sikasso Hospital, Sikasso, Republic of Mali

  • Service of Urology, Sikasso Hospital, Sikasso, Republic of Mali

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