This suggestion only takes into account the past surgical history, but not anatomical features of the fistula (location, size, fibrosis). 16-18 Some studies reported prognostic value of urethral location and the fistula increased failure risk in case their involvement. 19,20 Success of 57% was reported for cervico-urethral location and 79% for bladder body involvement. 21 Little data exists on the prognosis of obstetric fistula with urethral involvement in Cameroon. Objective: Analyze post-surgical outcome of genitourinary obstetric fistula with or without urethral involvement. Methodology This was a retrospective cohort study in the University Teaching Hospital, Yaounde on GUOF patients operated from 03 March 2009 to 3 March 2015 (six years). We considered obstetric fistula with urethral involvement "subject group" and obstetric fistula without urethral involvement "control group". Patient's files were reviewed, we excluded non-obstetric, genitourinary digestive and vesico-uterine cases. After an oral consent, we collected data through registers,
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