title: [Evolution aspect of anatomy clinical lesions of urogenital fistula (UGF) in Cocody Teaching Hospital urological unity from 1990 to 2011].
abstract: OBJECTIVE
  The aim of this study is to compare anatomy pathological lesions seeing in urogenital fistula in Cocody Teaching Hospital between two decades, 1990 to 2000 and 2000 to 2010.
  
  
  METHODS
  This survey is retrospective and carries on 20 years (January 1990 to December 2011) 190 urogenital fistulas (140 cases between 1990 and 1999; 50 from 2000 to 2011) hospitalized in our unity. Anatomy clinical characteristics of these fistulas were determined by clinical or paraclinical examination.
  
  
  RESULTS
  Between 1990 and 1999, fistulas were classified in 20 bladder-uterine fistulas (14.29%), 16 uretro-vaginal fistulas (11.43%) and 104 bladder-vaginal fistulas (74.29%) of whom 80 isolated UGFs and 24 UGFs associated with recto-vaginal fistula. These 104 UGFs were located at: bladder neck 22 cases (21.15%), bladder trigonal 46 cases (44.23%), urethra 14 cases (13.46%). Twenty-two bladder sphincter were destroyed and represented 21.15% of fistula's bladder-vaginal fistula and 15.71% of all UGFs. The average fistula diameter was 3 cm [extremes: 1 and 12 cm]. In 22 cases (15.71%), fistula diameter was more than 10 cm. It was bladder neck and sphincter destruction. Hundred and twenty-six fistulas were isolated (90%). Only 10% (14 cases) were associated. Fistulas were primitive in 85.71% of cases (120/140), recurrent in 7 cases (7.86%) and multi-recurrent (>3 reinterventions) in 9 cases (6.43%). From 2001 to 2011, no bladder-uterine fistulas were seen, but: 6 (13.95%) isolated uretero-vaginal fistulas and 6 (13.95%) uretero-vaginal fistulas associated with bladder-vaginal fistula, 31 (62%) bladder-vaginal fistulas of whom 20 (64.52%) bladder trigonal fistulas, 6 (19.34%) retro-trigonal fistulas and 2 (6.45%) urethral fistulas. Only three (9,68%) recto-vaginal fistulas were associated. The average fistula diameter was 2 cm. The fistulas were isolated in 40 cases (80%) and associated (VVF+uretero vaginal F) in 10 cases (20%). Thirty-five cases (70%) were primitive and 10 cases (20%) recurrent of whom 5 (10%) many recurrent. Fistulas were classified in simple fistula in 7 cases (14%) and complex fistula in 43 cases (86%)
  
  
  CONCLUSIONS
  UGF remained relatively frequent in Cocody Teaching Hospital, but the lesions have favorably evolved in the last decade. Simple type of fistula became more frequent than complex ones.
  
  
  METHODS
  4.
authors: Service d'urologie du CHU de Cocody, Abidjan, Cote d'Ivoire.
authors: P G
authors: PG
authors: Konan
authors: Service d'urologie du CHU de Cocody, Abidjan, Cote d'Ivoire.
authors: A H
authors: AH
authors: Dekou
authors: Service d'urologie du CHU de Cocody, Abidjan, Cote d'Ivoire. Electronic address: gowedy@yahoo.fr.
authors: E E
authors: EE
authors: Gowé
authors: Service d'urologie du CHU de Cocody, Abidjan, Cote d'Ivoire.
authors: C C
authors: CC
authors: Vodi
authors: Service d'urologie du CHU de Cocody, Abidjan, Cote d'Ivoire.
authors: A
authors: A
authors: Fofana
authors: Service d'urologie du CHU de Cocody, Abidjan, Cote d'Ivoire.
authors: N
authors: N
authors: Kramo
authors: Service de gynécologie et d'obstétrique du CHU de Cocody, Abidjan, Côte d'Ivoire.
authors: F A
authors: FA
authors: Diomandé
authors: Service de biostatistique UFR SMA, université Félix-Houphouët-Boigny de Cocody, Abidjan, Cote d'Ivoire.
authors: L
authors: L
authors: Nigue
authors: Service d'urologie du CHU de Cocody, Abidjan, Cote d'Ivoire.
authors: G A
authors: GA
authors: Ouegnin
authors: Service d'urologie du CHU de Cocody, Abidjan, Cote d'Ivoire.
authors: K
authors: K
authors: Manzan
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D005402:Fistula / Q000473:pathology*; D006784:Hospitals, Teaching; D006801:Humans; D012189:Retrospective Studies; D013997:Time Factors; D014515:Ureteral Diseases / Q000473:pathology*; D001747:Urinary Bladder Fistula / Q000473:pathology*; D014548:Urinary Fistula / Q000473:pathology*; D014591:Uterine Diseases / Q000473:pathology*; D014624:Vaginal Fistula / Q000473:pathology*; D014719:Vesicovaginal Fistula / Q000473:pathology*
keywords: Complex fistula; Fistule complexe; Fistule obstétricale; Fistule simple; Fistule urogénitale; Obstetrical fistula; Simple fistula; Urogenital fistula