title: [Epidemiology, etiology and psychosocial impact of urogenital fistulas in a cohort of 170 consecutive patients managed in three treatment centers in Burkina Faso from 2010 to 2012].
abstract: OBJECTIVE
  To describe the socio-demographical aspects, etiologies and psychosocial consequences of urogenital fistula patients (UGF) in Burkina Faso (BF).
  
  
  METHODS
  Descriptive study of a cohort of consecutive patients during a period of 18 months (December 1st 2010 to August 31st 2012) in three centers of treatment in BF. Each patient has had a standardized complete medical observation focused on sociodemographics, clinical finding, past medical history and etiologies of UGF. Some patients had an interview with a psychologist.
  
  
  RESULTS
  One hundred and seventy patients with mean age 35 years (minimum: 16, maximum: 70) were enrolled during the study period. The majority of patients were housewives (90.5%, n=152) and illiterates (92.9%, n=158). Among the patients, 62.4% (n=106) lived in rural zones. Obstetrical fistula was the most common cause of UGF (87.6%, n=149) in our study and prolonged labor occurred in 93.3% (n=139) of cases with 17.5% (n=26) who delivered at home. The majority of our cases were vesico-vaginal fistula (70.6%, n=120). Fifty-five patients (32.4%) were divorced after the fistula. The sensation of humiliation and sadness were noted at all the patients who had a psychological evaluation and 87.5% (n=14) of them have had suicidal ideas.
  
  
  CONCLUSIONS
  The UGF are frequent in Burkina Faso and obstetrical etiology is dominant. The physical and psychosocial repercussions are important for the women victims of this pathology.
  
  
  METHODS
  4.
authors.affiliation: Service d'urologie-andrologie, CHU Yalgado Ouédraogo, 03 BP 7022, Ouagadougou, Burkina Faso. Electronic address: kaborefamd@icloud.com.
authors.forename: F
authors.initials: F
authors.lastname: Aristide Kaboré
authors.affiliation: Service d'urologie-andrologie, CHU Souro Sanou, BP 676, Bobo-Dioulasso, Burkina Faso.
authors.forename: T
authors.initials: T
authors.lastname: Kambou
authors.affiliation: Service d'urologie-andrologie, CHU Souro Sanou, BP 676, Bobo-Dioulasso, Burkina Faso.
authors.forename: A
authors.initials: A
authors.lastname: Ouattara
authors.affiliation: Service d'urologie-andrologie, CHU Yalgado Ouédraogo, 03 BP 7022, Ouagadougou, Burkina Faso.
authors.forename: B
authors.initials: B
authors.lastname: Zango
authors.affiliation: Service d'urologie-andrologie, CHU Yalgado Ouédraogo, 03 BP 7022, Ouagadougou, Burkina Faso.
authors.forename: C
authors.initials: C
authors.lastname: Yaméogo
authors.affiliation: Service d'urologie-andrologie, CHU Yalgado Ouédraogo, 03 BP 7022, Ouagadougou, Burkina Faso.
authors.forename: B
authors.initials: B
authors.lastname: Kirakoya
authors.affiliation: Espoir Femme Enfant-Burkina Faso (EFE-BF - Association : W133014764), 18, boulevard Falques, 13015 Marseille, France.
authors.forename: J-P
authors.initials: JP
authors.lastname: Franquebalme
authors.affiliation: Espoir Femme Enfant-Burkina Faso (EFE-BF - Association : W133014764), 18, boulevard Falques, 13015 Marseille, France.
authors.forename: G
authors.initials: G
authors.lastname: Eglin
authors.affiliation: Espoir Femme Enfant-Burkina Faso (EFE-BF - Association : W133014764), 18, boulevard Falques, 13015 Marseille, France.
authors.forename: F
authors.initials: F
authors.lastname: Thoreau
authors.affiliation: Espoir Femme Enfant-Burkina Faso (EFE-BF - Association : W133014764), 18, boulevard Falques, 13015 Marseille, France.
authors.forename: J-L
authors.initials: JL
authors.lastname: Chuzel
authors.affiliation: Espoir Femme Enfant-Burkina Faso (EFE-BF - Association : W133014764), 18, boulevard Falques, 13015 Marseille, France.
authors.forename: P
authors.initials: P
authors.lastname: Albert
authors.affiliation: Espoir Femme Enfant-Burkina Faso (EFE-BF - Association : W133014764), 18, boulevard Falques, 13015 Marseille, France.
authors.forename: J-C
authors.initials: JC
authors.lastname: Alimi
authors.affiliation: Espoir Femme Enfant-Burkina Faso (EFE-BF - Association : W133014764), 18, boulevard Falques, 13015 Marseille, France.
authors.forename: J-M
authors.initials: JM
authors.lastname: Colas
authors.affiliation: Espoir Femme Enfant-Burkina Faso (EFE-BF - Association : W133014764), 18, boulevard Falques, 13015 Marseille, France.
authors.forename: A
authors.initials: A
authors.lastname: Bibault
authors.affiliation: Espoir Femme Enfant-Burkina Faso (EFE-BF - Association : W133014764), 18, boulevard Falques, 13015 Marseille, France.
authors.forename: O
authors.initials: O
authors.lastname: Paul
authors.affiliation: Département d'urologie, université Mc Gill, hôpital Général Juif, 3755, chemin de la Côte-Sainte-Catherine, Montréal, Québec, Canada.
authors.forename: J
authors.initials: J
authors.lastname: Corcos
authors.affiliation: Espoir Femme Enfant-Burkina Faso (EFE-BF - Association : W133014764), 18, boulevard Falques, 13015 Marseille, France; Service d'urologie et transplantation rénale, hôpital de la Conception, AP-HM, 147, boulevard Baille, 13385 Marseille cedex 05, France; Aix-Marseille université, 13284 Marseille, France.
authors.forename: G
authors.initials: G
authors.lastname: Karsenty
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002050:Burkina Faso / Q000453:epidemiology; D015331:Cohort Studies; D004243:Divorce / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008875:Middle Aged; D007744:Obstetric Labor Complications / Q000453:epidemiology; D011247:Pregnancy; D059020:Suicidal Ideation; D014548:Urinary Fistula / Q000453:epidemiology* / Q000209:etiology* / Q000523:psychology; D014624:Vaginal Fistula / Q000453:epidemiology* / Q000209:etiology* / Q000523:psychology; D055815:Young Adult
keywords: Burkina Faso; Depression; Dépression; Fistules urogénitales; Incontinence urinaire; Prolonged labor; Travail prolongé; Urinary incontinence; Urogenital fistula