Log in to email corresponding author
|
Cite this article:
Pierre Marie Tebeu, Joseph Nelson Fomulu, Achille Aurelien Mbassi, Jean Marie Tcheliebou, Anderson Sama Doh, Charles Henry Rochat. Quality care in vesico-vaginal obstetric fistula: case series report from the regional hospital of Maroua-Cameroon. The Pan African Medical Journal. 2010;5:6 Key words: Obstetric fistula, closure, continence, Cameroon Permanent link: http://www.panafrican-med-journal.com/content/article/5/6/full Received: 07/01/2010 - Accepted: 18/04/2010 - Published: 27/04/2010 © Pierre Marie Tebeu et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
Quality care in vesico-vaginal obstetric fistula: case series report from the regional hospital of Maroua-Cameroon
Pierre Marie Tebeu1,2,3, & , Joseph Nelson Fomulu3, Achille Aurelien Mbassi2, Jean Marie Tcheliebou2, Anderson Sama Doh3, Charles Henry Rochat4
1Ligue d’Initiative et de Recherche Active pour la Santé et l’Education de la Femme (LIRASEF), 2Department of obstetrics and Gynecology, Provincial hospital, Maroua, Cameroon, 3Department of obstetrics and Genecology, University hospitals, Yaoundé-Cameroon, 4Geneva Foundation for medical Education and Research (GFMER), Geneva, Switzerland
& Corresponding author
Pierre Marie Tebeu, Department of Obstetrics and Gynecology, University Hospitals, Yaoundé- Cameroon, Tel: 00 (237) 77 67 55 33
Abstract
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.
