Title: Fistules vésico-vaginales obstétricales en Guinée : analyse des données de 3 sites de prise en charge de l’ONG Engender Health
Author(s): A.B. Diallo, T. Sy, M.D. Bah, T.M.O. Diallo, M.S. Barry, I. Bah, T.H. Barry, J. Blanchot, C.-H. Rochat, M.B. Diallo
Publication date: 02.03.2016
Link: https://www.em-consulte.com/article/1036589/article/fistules-vesico-vaginales-obstetricales-en-guinee%C2%A0
Category : Research

To analyze the management of obstetric vesico-vaginal fistula in the three sites of Engender Health in Guinea.

Patients and methods

It was a retrospective study of descriptive type having helped collect 450 cases of vesico-vaginal fistulas in three support sites engender health between January 2008 and December 2011. The variables studied were epidemiological, clinical and therapeutic reasons and treatment outcomes were evaluated after a decline of at least six months.


The mean age of onset of the fistula was 25years, ranging from 12 to 55years and 58.8% (n=265) of patients were aged between 18 and 30years. The mean duration of fistula was 11years, ranging from 1 to 38years. Eighty-two percent (n=416) of patients were housewives and 66.4% (n=299) off school. The complex fistula with 66% (n=297) was the most frequent. The treatment consisted of a fistulorraphie after splitting vesico-vaginal in 93.3% (n=420) of cases. Therapeutic results considered after a mean of 8months have resulted in a cure in 79.3% (n=357) of cases, improvement in 4.2% (n=19) of cases and failure in 16 4% (n=74) of cases.


Vesico-vaginal fistula is a major cause of maternal morbidity in Guinea. The establishment of a real health policy based on sound medical and social structures contributes to its eradication.

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