title: Obstetric vesico-vaginal fistulas at the National Hospital of Niamey, Niger.
abstract: OBJECTIVE
  To determine the epidemiologic and therapeutic characteristics of obstetric vesico-vaginal fistulas at the National Hospital of Niamey, Niger.
  
  
  METHODS
  From December 2003 to February 2005, 111 consecutive patients with vesico-vaginal fistulas presenting for treatment were included and prospectively followed up. Demographic and clinical data were collected. The patients were re-evaluated 3 months after surgery.
  
  
  RESULTS
  Among the 104 patients treated surgically 87% were aged between 15 and 36 years; 84% were married before they were 19 years old; 51% were divorced; and 80% did not live with their husbands. The fistula was caused by the first delivery in 43% of the patients; 93% were in labor for more than 24 hours; 35% were delivered at home; and perinatal death was 100%. The overall cure rate was 73%.
  
  
  CONCLUSIONS
  These epidemiologic characteristics provide data towards the development of an obstetric fistula prevention program in Niger.
authors.affiliation: University of Niamey, Niamey, Niger.
authors.forename: I
authors.initials: I
authors.lastname: Nafiou
authors.forename: A
authors.initials: A
authors.lastname: Idrissa
authors.forename: A K
authors.initials: AK
authors.lastname: Ghaïchatou
authors.forename: M L
authors.initials: ML
authors.lastname: Roenneburg
authors.forename: C R
authors.initials: CR
authors.lastname: Wheeless
authors.forename: R R
authors.initials: RR
authors.lastname: Genadry
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D015994:Incidence; D009548:Niger; D007744:Obstetric Labor Complications / Q000175:diagnosis* / Q000453:epidemiology* / Q000628:therapy; D011203:Poverty; D011247:Pregnancy; D011446:Prospective Studies; D016896:Treatment Outcome; D014719:Vesicovaginal Fistula / Q000175:diagnosis* / Q000453:epidemiology* / Q000628:therapy