title: [Current profile of obstetrical vesicovaginal fistulas at the maternity unit of the University of Casablanca].
abstract: Obstetrical vesicovaginal fistulas are secondary to dystocia. Late and inappropriate treatment are still a health public problem in under development countries. In five years (1993-1997), twelve vesicovaginal fistulas were repertored in the department of obstetrics and gynaecology of Casablanca (Morocco) with a frequency of 0.33@1000 deliveries and 2.4 new cases a year. 80% of the cases occurred after a long labour without efficient obstetrical care. Most of the cases (75%) were simple with an easy surgical treatment. All the fistulas were resolved after one or two surgical procedures realised by vaginal route in eight cases (2/3). During these last decades, with the efforts in obstetrical care in our country, we are assisting in a diminution of the frequency of this pathology and specially the number of complicated fistulas.
authors.affiliation: Service de gynécologie-obstétrique B, maternité Lalla Meryem, CHU Ibn Rochd, Casablanca, Maroc.
authors.forename: O
authors.initials: O
authors.lastname: Sefrioui
authors.forename: A
authors.initials: A
authors.lastname: Aboulfalah
authors.forename: H B
authors.initials: HB
authors.lastname: Taarji
authors.forename: N
authors.initials: N
authors.lastname: Matar
authors.forename: A
authors.initials: A
authors.lastname: el Mansouri
mesh_terms: D000328:Adult; D005260:Female; D006785:Hospitals, University / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D009018:Morocco / Q000453:epidemiology; D007744:Obstetric Labor Complications / Q000453:epidemiology* / Q000473:pathology*; D009774:Obstetrics / Q000592:standards; D011247:Pregnancy; D014719:Vesicovaginal Fistula / Q000453:epidemiology* / Q000473:pathology*