Volume 5, Issue 1, January 2017, Page: 20-24
Obstetric Vesicouterine Fistulas: About 26 Cases Managed at Cocody’s University Hospital (Abidjan-Cote d’Ivoire)
Vedi Andre Loue, Paris Descartes University, Sud Francilien Hospital Center (Woman-Mother-Child Pole), Paris, France; Felix Houphouet-Boigny’ University, Faculty of Medical Sciences (Mother and Child Department, University Hospital of Cocody), Abidjan, Cote d’Ivoire
Mamadou Salia Traore, Paris Descartes University, Sud Francilien Hospital Center (Woman-Mother-Child Pole), Paris, France
Kouadio Achille Koffi, Felix Houphouet-Boigny’ University, Faculty of Medical Sciences (Mother and Child Department, University Hospital of Cocody), Abidjan, Cote d’Ivoire
Cassou Roland Adjoby, Felix Houphouet-Boigny’ University, Faculty of Medical Sciences (Mother and Child Department, University Hospital of Cocody), Abidjan, Cote d’Ivoire
Arthur Didier Kouame, Felix Houphouet-Boigny’ University, Faculty of Medical Sciences (Mother and Child Department, University Hospital of Cocody), Abidjan, Cote d’Ivoire
Akpa Yehi Gbary, Felix Houphouet-Boigny’ University, Faculty of Medical Sciences (Mother and Child Department, University Hospital of Cocody), Abidjan, Cote d’Ivoire
Ehouman Serge Boni, Felix Houphouet-Boigny’ University, Faculty of Medical Sciences (Mother and Child Department, University Hospital of Cocody), Abidjan, Cote d’Ivoire
Received: Jan. 26, 2017;       Accepted: Feb. 14, 2017;       Published: Mar. 2, 2017
DOI: 10.11648/j.jgo.20170501.13      View  2144      Downloads  109
Abstract
The aim of this work is to recall the etiopathogenic, diagnostic and therapeutic aspects of vesicouterine fistulas. This is a prospective study of 26 cases of obstetric vesicouterine fistula cared for in Cocody University Hospital Center (Abidjan, Cote d’Ivoire) between 07/09/11 and 24/04/2015. Early in the disease, patients were all in reproductive age with a different obstetrical history. The mean duration of the signs before diagnosis was 6 years. Etiologies are largely dominated by caesarean sections (69%) which four iteratives. The classic Youssef’s triad syndrome had represented 42.3%. Both hysterography and cystography were sufficient to establish the diagnosis of vesicouterine fistula in all cases. All patient underwent transperitoneal laparotomy repair. Peritoneal patch had been necessary in two cases and in four cases a hysterectomy was performed. Functional outcome was satisfactory. Vesicouterine fistula is a rare obstetric complication and very often iatrogenic. The good prognosis after repairing should not make us forget that this pathology seriously affects the quality of life of the patient. There must be a permanent and quality prevention.
Keywords
Obstetric Fistulas, Vesicouterine Fistulas, Youssef’s Syndrome
To cite this article
Vedi Andre Loue, Mamadou Salia Traore, Kouadio Achille Koffi, Cassou Roland Adjoby, Arthur Didier Kouame, Akpa Yehi Gbary, Ehouman Serge Boni, Obstetric Vesicouterine Fistulas: About 26 Cases Managed at Cocody’s University Hospital (Abidjan-Cote d’Ivoire), Journal of Gynecology and Obstetrics. Vol. 5, No. 1, 2017, pp. 20-24. doi: 10.11648/j.jgo.20170501.13
Copyright
Copyright © 2017 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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