Introduction Female genital fistula remains a global concern especially in incoming countries. The majority of cases resulted from obstructed delivery labor. The treatment is by surgery exceptional by probe for very s...Introduction Female genital fistula remains a global concern especially in incoming countries. The majority of cases resulted from obstructed delivery labor. The treatment is by surgery exceptional by probe for very small cases. But some ones remain incurable after several surgery theaters. The objective of this study is to establish the epidemiology anatomopathological types and prognosis of FGF considered being incurable in our center. Methods This is a retrospective and prospective descriptive study from January 2, 2017 to July 14, 2021 on incurable cases of female genital fistula recorded at the Centre National de Réparation de Fistule Obstétricale (CNRFO) of Niamey for complex cases of fgf. The epidemiology, the lesions of vagina, uretra, bladder, the treatment and prognosis have been studied. Results A total of 522 cases were operated within 5 cases given incurable (0.95%). The 5 cases were 37 - 49 years old, they had fistula at their first delivery, the mean age of the fistula was around 9 years. The anatomopathological founds were vaginal severe sclerosis, extensive supra-trigonal fistula, total ureteral destruction, and partial bladder destruction. All the 5 patients treated by surgery were declared incurable. Conclusion Female genital fistula is not life-threatening but a major definitive handicap for theses prim parous. The treatment fail is linked with local lesions, continuous urine and fecal incontinency, added by iterative surgery. They remain judged incurable whether a surgery was by skilled practitioner.展开更多
文摘Introduction Female genital fistula remains a global concern especially in incoming countries. The majority of cases resulted from obstructed delivery labor. The treatment is by surgery exceptional by probe for very small cases. But some ones remain incurable after several surgery theaters. The objective of this study is to establish the epidemiology anatomopathological types and prognosis of FGF considered being incurable in our center. Methods This is a retrospective and prospective descriptive study from January 2, 2017 to July 14, 2021 on incurable cases of female genital fistula recorded at the Centre National de Réparation de Fistule Obstétricale (CNRFO) of Niamey for complex cases of fgf. The epidemiology, the lesions of vagina, uretra, bladder, the treatment and prognosis have been studied. Results A total of 522 cases were operated within 5 cases given incurable (0.95%). The 5 cases were 37 - 49 years old, they had fistula at their first delivery, the mean age of the fistula was around 9 years. The anatomopathological founds were vaginal severe sclerosis, extensive supra-trigonal fistula, total ureteral destruction, and partial bladder destruction. All the 5 patients treated by surgery were declared incurable. Conclusion Female genital fistula is not life-threatening but a major definitive handicap for theses prim parous. The treatment fail is linked with local lesions, continuous urine and fecal incontinency, added by iterative surgery. They remain judged incurable whether a surgery was by skilled practitioner.
