title: [Obstetrical vesico-vaginal fistula in Guinea: Data analysis of three sites of treatment at Engender Health ONG].
abstract: OBJECTIVE
  To analyze the management of obstetric vesico-vaginal fistula in the three sites of Engender Health in Guinea.
  
  
  METHODS
  It was a retrospective study of descriptive type having helped collect 450 cases of vesico-vaginal fistulas in three support sites engender health between January 2008 and December 2011. The variables studied were epidemiological, clinical and therapeutic reasons and treatment outcomes were evaluated after a decline of at least six months.
  
  
  RESULTS
  The mean age of onset of the fistula was 25years, ranging from 12 to 55years and 58.8% (n=265) of patients were aged between 18 and 30years. The mean duration of fistula was 11years, ranging from 1 to 38years. Eighty-two percent (n=416) of patients were housewives and 66.4% (n=299) off school. The complex fistula with 66% (n=297) was the most frequent. The treatment consisted of a fistulorraphie after splitting vesico-vaginal in 93.3% (n=420) of cases. Therapeutic results considered after a mean of 8months have resulted in a cure in 79.3% (n=357) of cases, improvement in 4.2% (n=19) of cases and failure in 16 4% (n=74) of cases.
  
  
  CONCLUSIONS
  Vesico-vaginal fistula is a major cause of maternal morbidity in Guinea. The establishment of a real health policy based on sound medical and social structures contributes to its eradication.
  
  
  METHODS
  5.
authors.affiliation: Service d'urologie-andrologie, CHU de Conakry, BP 615, Conakry, Guinée. Electronic address: abobodiallo@gmail.com.
authors.forename: A B
authors.initials: AB
authors.lastname: Diallo
authors.affiliation: Service de gynécologie-obstétrique, CHU de Conakry, Conakry, Guinée.
authors.forename: T
authors.initials: T
authors.lastname: Sy
authors.affiliation: Service d'urologie-andrologie, CHU de Conakry, BP 615, Conakry, Guinée.
authors.forename: M D
authors.initials: MD
authors.lastname: Bah
authors.affiliation: Service d'urologie-andrologie, CHU de Conakry, BP 615, Conakry, Guinée.
authors.forename: T M O
authors.initials: TM
authors.lastname: Diallo
authors.affiliation: Engender Health, Conakry, Guinée.
authors.forename: M S
authors.initials: MS
authors.lastname: Barry
authors.affiliation: Service d'urologie-andrologie, CHU de Conakry, BP 615, Conakry, Guinée.
authors.forename: I
authors.initials: I
authors.lastname: Bah
authors.affiliation: Service de gynécologie-obstétrique, hôpital préfectoral de Kissidougou, Kissidougou, Guinée.
authors.forename: T H
authors.initials: TH
authors.lastname: Barry
authors.affiliation: Fondation genevoise pour la formation et la recherche médicales (GFMER), Genève, Suisse.
authors.forename: J
authors.initials: J
authors.lastname: Blanchot
authors.affiliation: Fondation genevoise pour la formation et la recherche médicales (GFMER), Genève, Suisse.
authors.forename: C-H
authors.initials: CH
authors.lastname: Rochat
authors.affiliation: Service d'urologie-andrologie, CHU de Conakry, BP 615, Conakry, Guinée.
authors.forename: M B
authors.initials: MB
authors.lastname: Diallo
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D016701:Guinea; D006801:Humans; D008875:Middle Aged; D009938:Organizations; D011247:Pregnancy; D011248:Pregnancy Complications; D012189:Retrospective Studies; D014719:Vesicovaginal Fistula / Q000209:etiology / Q000601:surgery*; D055815:Young Adult
keywords: Fistule vésico-vaginale; Guinea; Guinée; Traitement; Treatment; Vesico-vaginal fistula