Quality care in vesico-vaginal obstetric fistula: case series report from the regional hospital of Maroua-Cameroon
Tebeu, P.Marie.; Fomulu, J.Nelson.; Mbassi, A.Aurelien.; Tcheliebou, J.Marie.; Doh, A.Sama.; Rochat, C.Henry.
Pan African Medical Journal 5: 6
2010
ISSN/ISBN: 1937-8688 PMID: 21120005 Document Number: 223777
The World Health Organization (WHO) proposes a successful closure rate for first repair of vesico-vaginal obstetric fistula to be at 85% in each facility, with the continence achievement among the closed cases at 90 %. We are reporting the vesico-vaginal obstetric fistula outcome at the provincial hospital of Maroua-Cameroon from 2005 to August 2007. Among the overall 32 patients with vesico-vaginal fistula operated, 25 patients were at their first operation. The complete closure of vesico-vaginal fistula (VVF) was 23/25 (92%) and among the 23 patients with complete closure 17(74%) had good continence. When we consider only the 25 patients who were at their first operation, the overall closure of VVF was 23/25 (92%) and among them 17/23 (74%) were continent. Large lesion, bladder neck lesions, vaginal adherence and rigid margin are associated with failure/incontinence. These factors must be taken into consideration when preparing patients for surgery or when assigning them to a surgeon within the surgical team.