title: [Obstetrical vesicovaginal fistula for single visiting surgeons in Africa].
abstract: Obstetrical vesicovaginal fistulas remain frequent in Africa. An isolated surgeon, making a short-term visit, must select cases with a good prognosis by thorough clinical examination. Surgery is the only treatment and is simple for these simple cases: debridement of both sides of the sclerotic fistula, making it possible to separate the vaginal and bladder walls and to suture each individually. This reproducible surgery must be effective to lead to the women's social reintegration. Accordingly, isolated surgeons must treat only simple cases.
authors.affiliation: Service de Chirurgie Urologique, Hôpital d'Instruction des Armées Sainte-Anne, BP 20545, 83041 Toulon cedex 09, France.
authors.forename: G
authors.initials: G
authors.lastname: Schlienger
authors.forename: J
authors.initials: J
authors.lastname: Laroche
authors.forename: G
authors.initials: G
authors.lastname: Karsenty
authors.forename: S
authors.initials: S
authors.lastname: Bertrand
authors.forename: J P
authors.initials: JP
authors.lastname: Dulac
authors.forename: R
authors.initials: R
authors.lastname: Fournier
authors.forename: P H
authors.initials: PH
authors.lastname: Savoie
mesh_terms: D000349:Africa; D005260:Female; D006801:Humans; D008507:Medically Underserved Area; D009774:Obstetrics; D014719:Vesicovaginal Fistula / Q000175:diagnosis / Q000601:surgery*