title: [Acquired caustic vagina stenosis: Surgical outcomes of 21 cases].
abstract: OBJECTIVE
  To document epidemiology, causes, anatomical varieties and surgical management outcomes of caustic acquired vagina stenosis.
  
  
  METHODS
  Retrospective study of 21 patients involved from 1996 to 2012 at the department of obstetrics and gynecology of Yopougon's teaching hospital in Abidjan, Côte d'Ivoire. Vaginal stenosis due to genital malformation, vaginal irradiation of pelvic tumours, repair of bladder and vaginal fistulae or intersexual disorders were excluded.
  
  
  RESULTS
  The prevalence was 0.14/1000 admissions, mean age was 32.1 years, mean gravidity was 1.76 and mean parity was 1.1. Vaginal stenosis seat and extent were variable and 100 % had a caustic origin by use of traditional medicine vaginal pessaire. Of the patients, 95.2 % underwent surgical treatment followed by several dilations sessions with glass dilators. Successful surgical outcome allowing coitus was achieved in 47.6 % of cases with 52.4 % failure.
  
  
  CONCLUSIONS
  Acquired caustic vagina stenosis are frequently occurring and are a public health problem related to ignorance. Health education and establishment of expert centers with exchange of experiences in West Africa should be able to improve surgical outcomes.
authors.affiliation: Service de gynécologie obstétrique, CHU de Yopougon, Abidjan, Côte d'Ivoire.
authors.forename: K
authors.initials: K
authors.lastname: Séni
authors.affiliation: Service de gynécologie obstétrique, CHU de Yopougon, Abidjan, Côte d'Ivoire. Electronic address: horoapollinaire@yahoo.fr.
authors.forename: A G
authors.initials: AG
authors.lastname: Horo
authors.affiliation: Service de gynécologie obstétrique, CHU de Yopougon, Abidjan, Côte d'Ivoire.
authors.forename: A
authors.initials: A
authors.lastname: Koffi
authors.affiliation: Service de gynécologie obstétrique, CHU de Yopougon, Abidjan, Côte d'Ivoire.
authors.forename: K E
authors.initials: KE
authors.lastname: Aka
authors.affiliation: Service de gynécologie obstétrique, CHU de Yopougon, Abidjan, Côte d'Ivoire.
authors.forename: M
authors.initials: M
authors.lastname: Fomba
authors.affiliation: Service de gynécologie obstétrique, CHU de Yopougon, Abidjan, Côte d'Ivoire.
authors.forename: M
authors.initials: M
authors.lastname: Koné
mesh_terms: D000293:Adolescent; D000328:Adult; D002057:Burns, Chemical / Q000150:complications*; D002424:Caustics / Q000633:toxicity*; D003251:Constriction, Pathologic / Q000139:chemically induced; D007560:Cote d'Ivoire; D005260:Female; D006266:Health Education; D006801:Humans; D008875:Middle Aged; D011247:Pregnancy; D012189:Retrospective Studies; D014621:Vagina / Q000293:injuries* / Q000473:pathology / Q000601:surgery*
chemical_list: D002424:Caustics
keywords: Acquired vagina stenosis; Africa; Afrique; Ovules traditionnels; Pharmacopée; Sténose acquise du vagin; Traditionnal medicine; Traditionnal pessaire