Articles
17 November 2021
Vol. 33 (2021)
https://doi.org/10.4081/uij.2021.269

Characteristics of circumferential vesico-vaginal fistulas: A cross-sectional and multicentric study

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Circumferential fistula, risk factors, urinary incontinence, Burkina Faso
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Authors

Moussa Kaboré
https://orcid.org/0000-0002-1187-3187
Department of urology and andrology, University Hospital Yalgado Ouedraogo, Ouagadougou, Burkina Faso.
Brahima Kirakoya
Department of urology and andrology, University Hospital Yalgado Ouedraogo, Ouagadougou, Burkina Faso.
Adama Ouattara
https://orcid.org/0000-0001-8910-0806
Urology department University hospital Souro Sanou of Bobo- Dioulasso, Burkina Faso.
Clotaire Alexis Marie Kiemdiba Donega Yameogo
Department of urology and andrology, University Hospital Yalgado Ouedraogo, Ouagadougou, Burkina Faso.
Stéphanie Dominique Amida Nama
https://orcid.org/0000-0002-1806-7188
Department of urology and andrology, University Hospital Yalgado Ouedraogo, Ouagadougou, Burkina Faso.
Gilles Karsenty
Aix-Marseille Universités, Marseille, Burkina Faso.
Fasnéwindé Aristide Kaboré
kaborefamd@icloud.com
https://orcid.org/0000-0003-4967-6274
Department of urology and andrology, University Hospital Yalgado Ouedraogo, Ouagadougou, Burkina Faso.

The objective of the study was to determine the risk factors for development of circumferential fistula. We carried out a crosssectional, multicentric and analytical study over 7 years period, from 1st January, 2010 to 31 December, 2016. We compared circumferential and non- circumferential fistula patients in order to determine the risk factors for circumferential fistula development. Circumferential fistula accounted for 20% (91/456) of all vesico-vaginal fistulas. The mean age of the 456 patients was 35.9 years±12.15 (min 15 years; max 72 years). On univariate analysis, factors associated with the risk of circumferential fistula were: residence (P=0.039; OR=1.7), parity (P=0.04; OR=0.47), marital status before fistula (P=0.002; 4.3), duration of labor (P=0.041; OR=2.7) and fistula aetiology (P=0.038; OR=2.54). In a logistic regression model, two factors remained significant: marital status before fistula (P=0.029; OR=0.13) and duration of labor (P=0.017; OR=0.26). Circumferential fistula occurs in urban, primiparous, unmarried women who have been in labor for more than 41 hours.

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Europe PMC
Goh J, Romanzi L, Elneil S, et al. An International Continence Society (ICS) report on the terminology for female pelvic floor fistulas. Neurourol Urodynam 2020;39:2040-71. DOI: https://doi.org/10.1002/nau.24508
Pope R, Beddow M. A review of surgical procedures to repair obstetric fistula. Int J Gynaecol Obstet. 2020;148:22-6. DOI: https://doi.org/10.1002/ijgo.13035
Wright J. Circumferential urethral fistulae in Sub-Saharan Africa, current outcomes and future prospects. Int Urogynecol J 2015;26:1209-12. DOI: https://doi.org/10.1007/s00192-015-2679-8
Hancock B. The operations. In: Practical Obstetric Fistula Surgery. Hancock B, Browning A, eds. London: Royal Society of Medicine Ltd; 2009: pp. 3–8.
Browning A. The circumferential obstetric fistula: characteristics, management and outcomes. BJOG 2007;114:1172-6. DOI: https://doi.org/10.1111/j.1471-0528.2007.01329.x
Nardos R, Browning A, Chen CCG. Risk factors that predict failure after vaginal repair of obstetric vesicovaginal fistulae. Am J Obstet Gynecol 2009;200:578.e1-4. DOI: https://doi.org/10.1016/j.ajog.2008.12.008
Waaldijk K. Surgical classification of obstetric fistulas. Int J Gynecol Obstet 1995;49:161-3. DOI: https://doi.org/10.1016/0020-7292(95)02350-L
Kaboré FA, Kambou T, Ouattara A, et al. Epidemiology, etiology and psychosocial impact of urogenital fistulas in a cohort of 170 consecutive patients managed in three treatment centers in Burkina Faso from 2010 to 2012. Prog Urol 2014;24:526-32. DOI: https://doi.org/10.1016/j.purol.2014.03.001
Barry M, Diallo I, Bah M, et al. Transection type, vesico-vaginal fistula surgery. Open J Urol 2020;10:263-74. DOI: https://doi.org/10.4236/oju.2020.1011031
Wright J, Ayenachew F, Ballard KD. The changing face of obstetric fistula surgery in Ethiopia. Int J Womens Health 2016;8:243-8. DOI: https://doi.org/10.2147/IJWH.S106645
Goh JTW, Browning A, Berhan B, Chang A. Predicting the risk of failure of closure of obstetric fistula and residual urinary incontinence using a classification system. Int Urogynecol J Pelvic Floor Dysfunct 2008;19:1659-62. DOI: https://doi.org/10.1007/s00192-008-0693-9
Kopp DM, Tang JH, Bengtson AM, et al. Continence, quality of life and depression following surgical repair of obstetric vesicovaginal fistula: a cohort study. BJOG 2019;126:926-34. DOI: https://doi.org/10.1111/1471-0528.15546
Kayondo M, Wasswa S, Kabakyenga J, et al. Predictors and outcome of surgical repair of obstetric fistula at a regional referral hospital, Mbarara, western Uganda. BMC Urol 2011;11:23. DOI: https://doi.org/10.1186/1471-2490-11-23
Browning A. Prevention of residual urinary incontinence following successful repair of obstetric vesico-vaginal fistula using a fibro-muscular sling. BJOG 2004;111:357-61. DOI: https://doi.org/10.1111/j.1471-0528.2004.00080.x
Loposso MN, Ndundu J, De Win G, et al. Obstetric fistula in a district hospital in DR Congo: Fistula still occur despite access to caesarean section. Neurourol Urodyn 2015;34:434-7. DOI: https://doi.org/10.1002/nau.22601

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Characteristics of circumferential vesico-vaginal fistulas: A cross-sectional and multicentric study. (2021). Urogynaecologia, 33. https://doi.org/10.4081/uij.2021.269

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