Obstetric Vesicouterine Fistulas: About 26 Cases Managed at Cocody’s University Hospital (Abidjan-Cote d’Ivoire)

Abstract

Abstract:The aim of this work is to recall the etiopathogenic, diagnostic and therapeutic aspects of vesicouterine fistulas. This is a prospective study of 26 cases of obstetric vesicouterine fistula cared for in Cocody University Hospital Center (Abidjan, Cote d'Ivoire) between 07/09/11 and 24/04/2015. Early in the disease, patients were all in reproductive age with a different obstetrical history. The mean duration of the signs before diagnosis was 6 years. Etiologies are largely dominated by caesarean sections (69%) which four iteratives. The classic Youssef's triad syndrome had represented 42.3%. Both hysterography and cystography were sufficient to establish the diagnosis of vesicouterine fistula in all cases. All patient underwent transperitoneal laparotomy repair. Peritoneal patch had been necessary in two cases and in four cases a hysterectomy was performed. Functional outcome was satisfactory. Vesicouterine fistula is a rare obstetric complication and very often iatrogenic. The good prognosis after repairing should not make us forget that this pathology seriously affects the quality of life of the patient. There must be a permanent and quality prevention.