Quality care in vesico-vaginal obstetric fistula: case series report from the regional hospital of Maroua-Cameroon.
The World Health Organization (WHO) proposes a successful closure rate for first repair of vesico-vaginal obstetric fistula to be at 85% in each facility, with the continence achievement among the closed cases at 90 %. We are reporting the vesico-vaginal obstetric fistula outcome at the provincial hospital of Maroua-Cameroon from 2005 to August 2007. Among the overall 32 patients with vesico-vaginal fistula operated, 25 patients were at their first operation. The complete closure of vesico-vaginal fistula (VVF) was 23/25 (92%) and among the 23 patients with complete closure 17(74%) had good continence. When we consider only the 25 patients who were at their first operation, the overall closure of VVF was 23/25 (92%) and among them 17/23 (74%) were continent. Large lesion, bladder neck lesions, vaginal adherence and rigid margin are associated with failure/incontinence. These factors must be taken into consideration when preparing patients for surgery or when assigning them to a surgeon within the surgical team.
Ligue d'Initiative et de Recherche Active pour Santé et l'Education de Femme, Maroua, Cameroon.
Pierre Marie
PM
Tebeu
Joseph Nelson
JN
Fomulu
Achille Aurelien
AA
Mbassi
Jean Marie
JM
Tcheliebou
Anderson Sama
AS
Doh
Charles Henry
CH
Rochat
D000293:Adolescent; D000328:Adult; D002163:Cameroon; D005260:Female; D006773:Hospitals, Municipal; D006801:Humans; D008427:Maternal Health Services / Q000592:standards*; D011787:Quality of Health Care / Q000592:standards*; D012923:Social Class; D016896:Treatment Outcome; D014549:Urinary Incontinence / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D014563:Urodynamics; D013519:Urogenital Surgical Procedures / Q000379:methods / Q000592:standards; D014719:Vesicovaginal Fistula / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D055815:Young Adult