https://doi.org/10.4081/uij.2021.269

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

Vol. 33 No. 1 (2021)
Published: 17 November 2021
Circumferential fistula, risk factors, urinary incontinence, Burkina Faso
Abstract Views: 1476
PDF: 169
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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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Characteristics of circumferential vesico-vaginal fistulas: A cross-sectional and multicentric study. (2021). Urogynaecologia, 33(1). https://doi.org/10.4081/uij.2021.269

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