Mrs. x Lesly, 32 years old, seamstress by profession, living in a de facto and living Brazzaville, admitted in the Obstetric Gynecology Department of the Brazzaville Teaching Hospital, on June 15 th , 2016 for urinary incontinence evolving for 2 weeks. Dance has a history of ovarian cystectomy in 2012. All is G2P2, with 1 child living 12 years, and 1 stillborn. A month ago, you have a long time for your business, 40 years old, and you are giving an indication of your choice and commitment. The indication-extraction period was extended by approximately 5 hours due to logistical problems. Cesarienne had allowed the extraction of a fetus dead-ne macerated male sex weighing 3500 grams. And by operatory it was a badly flipped head. The operational suites were simple. One week after discharge from the hospital, urinary incontinence characterized by permanent staining of underwear and lingerie justifying consultation in the Obstetric Gynecology Department of the University Hospital of Brazzaville. After the methylene blue test, the diagnosis of vesico-vaginal fistula of obstetric origin is retained. It was a fistula affecting the neck of the bladder, about 2 centimeters of the diameter, with friable margins. The operative indication was posed.Int J Fam Commun Med. 2018;2(1):15-16 15 Summary A case Vesico Vaginal Fistula VVF of origin inaccessible obstetric vaginally. The pathogenesis of this fistula seems classic, but the delay between the initial event and the appearance of the fistula seems too short. Adolescence and the remoteness of the health structure with the recipient were not found among the contributing factors. In front of the operating difficulties by track low, a conversion by a high track has been necessary. The surgical technique used was a fistulorraphie revilement by the banks without resection The treatment of fistula has been undertaken only one month after its occurrence, without any particular complication occurring. The success of the surgical treatment of obstetric fistula depends not only on the dexterity of the surgeon, but much of the quality of care pre, PER and post-operative.
Citation: Mbongo JA, Ngabogo A, Mahoungou F, et al. Vesico-vaginal fistula of obstetric origin inaccessible vaginally: a case report and literature review. Int J Fam Commun Med. 2018;2(1):15-16.