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[Epidemiological, etiological and evolutionary profile of vesico-vaginal fistulas in Senegal]. / Profil épidémiologique, étiologique et évolutif des fistules vésico-vaginales au Sénégal.
Sarr, Alioune; Ze Ondo, Cyrille; Thiam, Amath; Badji, Cheikh Abdourahmane; Sine, Babacar; Ndiaye, Modou; Ndiath, Abdoulaye; Sow, Ousmane; Diouf, Abdou Aziz; Sow, Yaya; Fall, Papa Ahmed; Ndoye, Alain Khassim.
Affiliation
  • Sarr A; Service d'urologie et d'andrologie, hôpital Aristide-Le-Dantec, avenue Pasteur, Dakar, Sénégal. Electronic address: sarramoc@yaho.fr.
  • Ze Ondo C; Service d'urologie et d'andrologie, hôpital Aristide-Le-Dantec, avenue Pasteur, Dakar, Sénégal.
  • Thiam A; Service d'urologie et d'andrologie, hôpital Aristide-Le-Dantec, avenue Pasteur, Dakar, Sénégal.
  • Badji CA; Service d'urologie et d'andrologie, hôpital Aristide-Le-Dantec, avenue Pasteur, Dakar, Sénégal.
  • Sine B; Service d'urologie et d'andrologie, hôpital Aristide-Le-Dantec, avenue Pasteur, Dakar, Sénégal.
  • Ndiaye M; Service d'urologie andrologie, hôpital Dalal-Jam, Dakar, Sénégal.
  • Ndiath A; Service d'urologie et d'andrologie, hôpital Aristide-Le-Dantec, avenue Pasteur, Dakar, Sénégal.
  • Sow O; Service d'urologie et d'andrologie, hôpital Aristide-Le-Dantec, avenue Pasteur, Dakar, Sénégal.
  • Diouf AA; Service de gynécologie, centre hospitalier national de Pikine, Dakar, Sénégal.
  • Sow Y; UFR en santé, université Gaston-Berger de Saint-Louis, Dakar, Sénégal.
  • Fall PA; Service d'urologie andrologie, hôpital Dalal-Jam, Dakar, Sénégal.
  • Ndoye AK; Service d'urologie et d'andrologie, hôpital Aristide-Le-Dantec, avenue Pasteur, Dakar, Sénégal.
Prog Urol ; 33(7): 401-406, 2023 Jul.
Article in Fr | MEDLINE | ID: mdl-37117125
AIM: To evaluate the epidemiological, etiological and evolutionary profile of vesico-vaginal fistulas (VVF) in university hospitals in Senegal. PATIENTS AND METHOD: This is a retrospective, descriptive, single-center study, collecting the records of patients followed for VVF between January 2014 and December 2019 at the Urology and Andrology Department of the Centre hospitalier universitaire Aristide Le Dantec, Dakar, Senegal. The following parameters were studied: age, geographical origin, parity, and etiology of VVF. To assess the evolution of the epidemiological and etiological profile of VVF, we compared our results with those of series published by our structure. RESULTS: Forty-five (45) VVFs were identified over a period of 6 years. This represents an annual average of 7.5 fistulas. The average age was 40±15.13 years with extremes of 13 years and 75 years; 17 patients (37.8%) were older than 45 years. The average parity was 3 with extremes from 0 to 12 children. Multiparous women represented 68.8% of the patients. Obstetric VVF (OVF) was more frequent (48.9%) followed by iatrogenic VVF (33.3%). The mean age was higher in the IVF group compared to the VVF group (32 years) (P = 0.0004). Thirty patients were from the Dakar region and its suburbs (66.6%). The etiology of VVF did not vary according to the geographical origin of the patients (P=NS). VVF was frequently associated with the management of cervical cancer in 42.2% of cases. Comparison of our current data with previous series shows a reduction in the annual incidence of VVF. VVFs, although they have decreased significantly, are still predominant. There is a constant increase in the number of IVF. CONCLUSION: There is an evolution of the epidemiological and etiological profile marked by a decrease in the frequency of VVFs and an increase in that of IVFs. It is also worth noting the frequent association between cervical cancer and VVF. LEVEL OF EVIDENCE: Level 4: retrospective study.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Uterine Cervical Neoplasms / Vesicovaginal Fistula Type of study: Etiology_studies / Observational_studies / Risk_factors_studies Limits: Adult / Child / Female / Humans / Middle aged / Pregnancy Country/Region as subject: Africa Language: Fr Journal: Prog Urol Journal subject: UROLOGIA Year: 2023 Document type: Article Country of publication:

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Uterine Cervical Neoplasms / Vesicovaginal Fistula Type of study: Etiology_studies / Observational_studies / Risk_factors_studies Limits: Adult / Child / Female / Humans / Middle aged / Pregnancy Country/Region as subject: Africa Language: Fr Journal: Prog Urol Journal subject: UROLOGIA Year: 2023 Document type: Article Country of publication: