Surgical Approach to Obstetric Fistula Repair in Niamey, Niger: A Description of Surgical Technique

Abstract

Objective: The objective of this project is to describe the diagnostic and surgical techniques utilized for the repair of complex obstetric vesico-vaginal fistula.Cases: The two cases described include a recurrent pinpoint fistula at the bladder neck and a primary fistula with traumatic amputation of the proximal urethra.Comment: Although most surgeons are unlikely to encounter the complexity of fistula caused by obstructed labor, principles used in the diagnosis and treatment of the complicated obstetric fistulas can guide surgeon approaching vesico-vaginal fistula repair of any etiology.