Anoukoum T, Attipou K K, Agoda-Koussema L K, Akpadza K, Ayite E A
Service d'urologie-andrologie, CHU Tokoin, Lomé, Togo.
Prog Urol. 2010 Jan;20(1):71-6. doi: 10.1016/j.purol.2009.08.038. Epub 2009 Nov 4.
To appreciate and to analyse the different human and materials capacities available for management in view of its total eradication.
From January 2001 to December 2005, a census of obstetrical urogenital fistulae was carried out from treatment cases notes in all the hospitals of Togo. It was a retrospective and descriptive study which included the age of the patients, the situation of the sanitary institution, the quality of the physician in charge of the obstetrical fistulae, information about the kind of the fistulae, the way in which the delivery was done and the financial incidence for the repair of the fistulae. The subject of the study, the confidentiality on the contents of the case notes and the results expected were clarified to the responders.
One hundred and sixty-three (163) cases of obstetrical fistulae were studied. The average age was 21 years (extremes: 15 and 45). Forty-four sanitary institutions comprising 93 treatments service were visited. Hospitals were noted to be far away from patients in the north of the country. All the four hospitals able to take care of obstetrical fistulae effectively were located in the south. Eight hundred and forty health personals were questioned and 467 (55.60%) had said to be able to make the diagnosis of obstetrical fistula. A maximum of four surgeons were trained and competent to manage obstetrical fistula. Operating equipment of obstetrical fistula was inexistent in 40 hospitals, that is 90.90%.
Obstetrical fistula is present in Togo and represents a public health problem to eradicate. It is more frequent in young women from rural areas and of low educational level. It constitutes also a handicap for the reproduction of humankind.
鉴于要彻底根除产科泌尿生殖瘘，评估并分析可用于管理的不同人力和物力资源。
2001年1月至2005年12月，对多哥所有医院治疗的产科泌尿生殖瘘病例记录进行了普查。这是一项回顾性描述性研究，包括患者年龄、卫生机构状况、负责产科瘘管治疗的医生资质、瘘管类型信息、分娩方式以及瘘管修复的费用情况。向受访者阐明了研究主题、病例记录内容的保密性以及预期结果。
研究了163例产科泌尿生殖瘘病例。平均年龄为21岁（范围：15至45岁）。走访了44个卫生机构，其中包括93个治疗科室。发现该国北部的医院距离患者较远。所有能够有效治疗产科泌尿生殖瘘的四家医院均位于南部。对840名卫生人员进行了询问，其中467人（55.60%）表示能够诊断产科瘘管。最多有四名外科医生接受过培训并具备治疗产科瘘管的能力。40家医院（即90.90%）没有产科瘘管手术设备。
产科泌尿生殖瘘在多哥存在，是一个需要根除的公共卫生问题。在农村地区、教育水平较低的年轻女性中更为常见。它也对人类生殖构成障碍。
