Vesicouterine Fistula in Burkina Faso: Report of 36 Cases in a Multicentric Study

Objective To report etiological and therapeutic features of vesicouterine fistulas (VUF) in Burkina Faso.Patients and Methods We performed a retrospective, descriptive, and multicentric study based on the medicalrecords of women treated for VUF from January 2010 to December 2016.Results VUF accounted for 7.2% (36/497) of urogenital fistulas managed during the study period. The medianage of the 36 patients was 35 years (interquartile range = 27 to 37.5 years) with values ranging from 16 years to 64years old. Among VUF, obstetric fistula accounted for 26 cases (26/36) versus 10 cases (10/36) of iatrogenic fistula.Obstetric VUF were consecutive to emergency Caesarean section (n = 16) and vaginal delivery (n = 10) afterprolonged obstructed labor. The 10 cases of iatrogenic VUF were subsequent to prelabour Caesarean section. Themain circumstance of VUF occurrence was Caesarean section (26/36). In 10 cases (10/36), VUF was associated with avesicovaginal fistula. Thirty days after the removal of the catheter, the success rate fell from 89% to 80.6%.Conclusion VUF is rare but its frequency is not negligible in our context. The main circumstance of occurrenceremains Caesarean section. The best treatment remains prevention.