Vesicovaginal Fistulas: Anatomical Clinical and Surgical Aspects in the Conakry University Hospital Center


Objective: To analyze the management of VVF in the Service of Urology-Andrology Obstetrics and Gynecology of the University Hospital in Conakry. Materials and Methods: From January 2012 to December 2013, 152 patients with a mean age of 30 years (14 - 80 years) were hospitalized in the Departments of Urology-Andrology and Gynecology-Obstetrics of the Conakry University Hospital Center. Clinically fistulas were divided according to the classification of Benchekroun as single, complex and complicated. The fistulas were diagnosed after a minimum period of three months and the results were assessed with a mean follow-up of 7 months (range 3 to 10 months) according to the following criteria: complete healing, intermediate healing and failure. Results: Fistulas occur mainly in young multiparous women. The obstetric etiology was dominant (98%). Clinically, there were 30% simple fistulas, 46% complex fistulas and 24% of complicated fistulas. From a therapeutic standpoint, the treatment consisted of a single fistulorraphie (Chassar Moir) in 82% of cases and a fistulorraphie with interposition of healthy tissue in 18% of cases. After a mean follow-up of 7 months we obtained a healing in 62% of cases, a failure in 31% of cases and the results were intermediate in 7% of cases. Conclusion: It appears that the VVF represents a public health concern in Guinea and surgical treatment is technical difficult due to the higher frequency of complex fistulas.

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Diallo, A. , Oury Diallo, T. , Bah, I. , Bah, M. , Barry, M. , Kanté, D. , Bah, O. , Guirassy, S. and Bobo Diallo, M. (2015) Vesicovaginal Fistulas: Anatomical Clinical and Surgical Aspects in the Conakry University Hospital Center. Open Journal of Urology, 5, 224-230. doi: 10.4236/oju.2015.512036.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Moudouni, S., Nouri, M., Koutani, A., Ibn Attya, A., Hachimi, M. and Lakrissa, A. (2001) Obstetrical Vesico-Vaginal Fistula. Report of 114 Cases. (Les fistules vésico-vaginales obstétricales. à propos de 114 cas.) Progres en Urologie, 11, 103-108.
[2] Benchekroun, A., El Alj, H.A., El Sayegh, H., Lachkar, A., Nouini, Y., Benslimane, L., Belahnech, Z., Marzouk, M. and Faik, M. (2003) Vesico-Vaginal Fistula. Report of 1050 Cases. (Les fistules vesico-vaginales: à propos de 1050 cas.) Annales d’Urologie, 37, 194-198.
[3] Cortesse, A. and Colau, A. (2004) Vesico-Vaginal Fistula. (Fistule Vésico-Vaginale.) Annales d Urologie, 38, 52-66.
[4] Benchekroun, A., Lakrissa, A., Essakali, H.N., Faik, M., Abbaka, T., Hachimi, M., Marzouk, M. and Benabderrazek, T. (1987) Vesico-Vaginal Fistula. Report of 600 Cases. (Les fistules vésico-vaginales à propos de 600 cas.) Journal of Urology, 93, 151-158.
[5] Zoung-Kanyi, J. and Sow, M. (1990) Focus on Vesicovaginal Fistulas at the Yaoundé Central Hospital. Report of 111 Cases Seen in 10 Years. (Le point sur les fistules vésico-vaginales à l’hopital central de Yaoundé. à propos de cent onze cas observés en dix ans.) Annales d Urologie (Paris), 24, 457-461.
[6] Anoukoum, T., Attipou, K.K., Agoda-Koussema, L.K., Akpadza, K. and Ayite, E.A. (2010) Epidemiological, Aetiolo-gical and Treatment Aspects of Obstetrical Fistula in Togo. (Aspects épidémiologiques, étiologiques et thérapeutiques de la fistule obstétricale au Togo.) Progres en Urologie, 20, 71-76.
[7] Guirassy, S., Diallo, I.S., Bah, I., Diallo, M.B., Sow, K.B., Diabate, I., Kaba, A. and Balde, A. (1995) Epidemiologic and Therapeutic Features of Urogenital Fistulae in Guinea (Conakry). (Aspects épidémiologiques et thérapeutiques des fistules uro-génitales en Guinée.) Progres en Urologie, 5, 684-689.
[8] Nguembi, E., Sepou, A., Yanza, M.C., Denissio, M., Mbalackpo, B., Ngbale, R., et al. (2005) Obstetric Fistula Neglected Disease: Report of 62 Cases Observed in Bangui (Central African Republic). (La fistule obstétricale, pathologie négligée: à propos de 62 cas observés à Bangui Centrafrique.) Revue Médecine d’Afrique Noire, 52, 593-597.
[9] Kambou, T., Zango, B., Ouattara, T.A., Dao, B. and Sanou, D. (2006) Update on the Management of Urogenital Fistulas Souro Sanou University Hospital in Bobo Dioulasso: Study 57 Cases Operated in 2 Years. (Point sur la prise en charge des fistules uro-génitales au CHU de Souro Sanou de Bobo Dioulasso: Etude de 57cas opérés en 2 ans.) Revue Médecine d’Afrique Noire, 53, 665-673.
[10] Gueye, S.M., Ba, M., Sylla, C., Diagne, B.A. and Mensah, A. (1992) Vesicovaginal Fistulas. Etiopathogenic and Therapeutic Aspects in Senegal. (Les fistules vésico-vaginales: Aspects étiopathogeniques et thérapeutiques au Sénégal.) Journal d’Urologie, 98, 148-151.
[11] Qi, L.Y., Ouattara, Z. and Ouattara, K. (2000) Traitement des fistules vésico-vaginales à l’hopital de Kati. à propos de 34 cas. Médecine d’Afrique Noire, 47, 116-119.
[12] Harouna, Y.D., Seibou, A., Maikano, S., Djambeidou, J., Sangare, A., Bilane, S.S., et al. (2001) The VVF Obstetric Cause: Survey of 52 Women Admitted to the Village of Fistula. [La fistule vésco-vaginale de cause obstétricale: Enquête auprès de 52 femmes admises au village des fistuleuses.] Médecine d’Afrique Noire, 48, 55-59.
[13] Ibrahim, T. and Sadiq, A.U. (2000) Daniel SO Caracteristics of VVF Patients as Seen at the Specialist Hospital. West African Journal of Medicine, 19, 59-63.
[14] Sombié, I., Kambou, T., Conombo, S.G., Ouedraogo, L., Zoungrana, T., Hounton, S. and Meda, N. (2007) Retrospective Study of Urogenital Fistula in Burkina Faso from 2001 to 2003. [Bilan rétrospectif des fistules urogénitales obstétricales de 2001 à 2003 au Burkina Faso.] Medecine Tropicale, 67, 48-52.
[15] Direction Nationale de la Statistique (DNS) (Guinée) et ORC Macro (2006) Enquête Démographique et de Santé, Guinée 2005. DNS et ORC Macro, Calverton.
[16] Ouattara, K., Traore, M.L. and Cissé, C. (1991) Some Statistical Aspects of VVF Republic of Mali. About 134 Cases. [Quelques aspects statistiques de la fistule vésico-vaginale République du Mali. A propos de 134 cas.] Médecine d’Afrique Noire, 38, 856-860.
[17] Mensah, A., Ba, M., Gueye, S.M., Sylla, C., Ndoye, A.K., Moreira, P., Fall, A. and Labou, I. (1996) Neurologic Aspects of Vesico-Vaginal Fistula of Obstetrical Origin. [Les aspects neurologiques de la fistule vésico-vaginale d’origine obstétricale.] Progrès en Urologie, 6, 398-402.
[18] Mhiri, M.N., Rekik, S., Trifa, M. and Bouzid, F. (1993) Urogenital Lesions and Fistulas. What’s Going on in Tunisia? [Plaies et Fistules uro-génitales. Qu’en advient-il en Tunisie?] Journal de Gynécologie Obstétrique et Biologie de la Reproduction, 22, 157-161.
[19] Dumurgier, C. and Falandry, L. (2012) Surgical Management of Obstetric Fistulae. [La chirurgie des fistules obstetric-cales.] Bulletin de l’Academie Nationale de Medecine, 196, 1535-1556.
[20] Falandry, L. (1992) Treatment of Post-Partum Urogenital Fistulas in Africa. 261 Cases Observed in 10 Years. [Traitement des fistules uro-génitales post-partum en Afrique. 261 cas observés en dix ans.] Progrès en Urologie, 2, 861-873.
[21] Couvelaire, R. (1982) Complex Vesicovaginal Fistulas. [Les fistules vésico-vaginales complexes.] Journal of Urology, 88, 353-358.
[22] Falandry, L. (1992) Vesicovaginal Fistula in Africa. 230 Cases. [La fistule vésico-vaginale en Afrique. 230 observations.] La Presse Médicale, 21, 241-245.
[23] Falandry, L., Lahaye, F. and Marara, C. (1990) A Pedicled Musclefat Flap of the Major Labia in the Treatment of Complex Vesicovaginal Fistula. Apropos of 11 Cases. [Le lambeau pédiculé cutanéo-graisseux de la grande lèvre dans le traitement des FVV complexes. A propos de 11 cas.] Journal of Urology, 96, 97-102.

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