Results of the Management of Urogenital Fistulae from Community Caravans  

作　　者：Eric Bohoussou Jean Marc Dia Gerard Okon Lydie Djanhan Bilé Kouamé Yao Djanhan Gabriel Gnanazan Serges Boni 

机构地区：[1]Department of Gynecology and Obstetrics, University and Hospital Center of Treichville (CHUT), Abidjan, Cote d’Ivoire [2]National Coordinator Fistula Project, UNFPA, Abidjan, Cote d’Ivoire [3]Department of Gynecology and Obstetrics, University and Hospital Center of Bouaké (CHUB), Bouaké, Cote d’Ivoire [4]Department of Urology, University and Hospital Center of Treichville (CHUT), Abidjan, Cote d’Ivoire [5]Department of Gynecology and Obstetrics, University and Hospital Center of Cocody (CHUC), Abidjan, Cote d’Ivoire

出　　处：《Open Journal of Obstetrics and Gynecology》2017年第8期858-865,共8页妇产科期刊（英文）

摘　　要：Objective: To report the experience of surgical caravans for urogenital fistulas care. Methodology: This was a retrospective study covering the period from January 2014 to December 2014 and which took place on 7 sites of fistula care. The epidemiological, anatomoclinical, therapeutic and evolutionary aspects were studied. Results: 346 patients were operated during 14 caravans. Their average age was 33.11 years (range: 12 to 70 years). Most of these patients were without remunerative activities (80%) and without education (63.3%). The average duration of fistula progression was 6.08 years (range: 0 to 42 years). Obstetrical etiology was predominant (87.9%). According to the classification of Kees Waaldijk, fistulas were divided into type I (67.4%), type II (21.1%), and type III (11.5%). The most common surgical approach was the transvaginal route (82.1%). The vesicovaginal splitting with separated suture of the bladder and the vagina was the basic technique (94.7%). The therapeutic results were judged after a follow-up of 1 month and 3 months. Across the cohort, 80 patients (23.1%) were lost of sight for follow-up at 1 month and 245 (70%) at 3 months. The success rates evaluated in patients reviewed at 1 month and 3 months were respectively 70% and 64%. Conclusion: The incidence of urogenital fistulas is still high in Cote d'Ivoire. Various anatomoclinical varieties have been identified and treated with satisfactory results in poorly equipped local structures.Objective: To report the experience of surgical caravans for urogenital fistulas care. Methodology: This was a retrospective study covering the period from January 2014 to December 2014 and which took place on 7 sites of fistula care. The epidemiological, anatomoclinical, therapeutic and evolutionary aspects were studied. Results: 346 patients were operated during 14 caravans. Their average age was 33.11 years (range: 12 to 70 years). Most of these patients were without remunerative activities (80%) and without education (63.3%). The average duration of fistula progression was 6.08 years (range: 0 to 42 years). Obstetrical etiology was predominant (87.9%). According to the classification of Kees Waaldijk, fistulas were divided into type I (67.4%), type II (21.1%), and type III (11.5%). The most common surgical approach was the transvaginal route (82.1%). The vesicovaginal splitting with separated suture of the bladder and the vagina was the basic technique (94.7%). The therapeutic results were judged after a follow-up of 1 month and 3 months. Across the cohort, 80 patients (23.1%) were lost of sight for follow-up at 1 month and 245 (70%) at 3 months. The success rates evaluated in patients reviewed at 1 month and 3 months were respectively 70% and 64%. Conclusion: The incidence of urogenital fistulas is still high in Cote d'Ivoire. Various anatomoclinical varieties have been identified and treated with satisfactory results in poorly equipped local structures.

关 键 词：UROGENITAL FISTULAS EPIDEMIOLOGY DIAGNOSIS Treatment 

分 类 号：R73[医药卫生—肿瘤]