[Obstetric vesicovaginal fistulas, about 131 cases].
BACKGROUND
Vesicovaginal fistulas are the most frequent type of urogenital fistulas. Obstetrical cause remains the dominant etiology. They still represent a public health problem. Aim : to study epidemiological aspects of obstetric vesico-vaginal fistulas and their management.


METHODS
a retrospective multicentric study among 19 hospital departments from February 1982 to January 2007.


RESULTS
131 VVF (92% of urogenital fistulas). The vaginal route for surgical repair was used in 2/3 cases. The mean diameter of the fistula was 11.35 mm. In 122 cases (86.5%), the fistula was unique. IVU findings were normal in 83% cases. All patients had normal renal function apart one who had acute renal failure. 177 interventions were performed (1.37 intervention per patient).


CONCLUSIONS
Our findings suggest a regression in obstetrical VVF. However many efforts on institutional, socioeconomic and obstetrical levels have to be done in order to eradicate this pathology that is of major handicap for women regarding socioeconomic, functional and psychological effects.
Service A du centre de maternité et de néonatologie de Tunis, La Rabta, Tunis, Tunisie.
Dalenda
D
Chelli
Hela
H
Chelli
Abdelaziz
A
Falfoul
Nabil
N
Ben Zineb
Mounir
M
Chibani
Sami
S
Bouchoucha
Ines
I
Najar
Nedra
N
Hammedi
Fethia
F
Boudaya
Mohamed
M
B Channoufi
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D007744:Obstetric Labor Complications / Q000453:epidemiology* / Q000209:etiology*; D011247:Pregnancy; D012189:Retrospective Studies; D014719:Vesicovaginal Fistula / Q000453:epidemiology* / Q000209:etiology*; D055815:Young Adult