Chelli Dalenda, Chelli Hela, Falfoul Abdelaziz, Ben Zineb Nabil, Chibani Mounir, Bouchoucha Sami, Najar Ines, Hammedi Nedra, Boudaya Fethia, B Channoufi Mohamed
Service A du centre de maternité et de néonatologie de Tunis, La Rabta, Tunis, Tunisie.
Tunis Med. 2010 Jun;88(6):414-9.
Vesicovaginal fistulas are the most frequent type of urogenital fistulas. Obstetrical cause remains the dominant etiology. They still represent a public health problem. Aim : to study epidemiological aspects of obstetric vesico-vaginal fistulas and their management.
a retrospective multicentric study among 19 hospital departments from February 1982 to January 2007.
131 VVF (92% of urogenital fistulas). The vaginal route for surgical repair was used in 2/3 cases. The mean diameter of the fistula was 11.35 mm. In 122 cases (86.5%), the fistula was unique. IVU findings were normal in 83% cases. All patients had normal renal function apart one who had acute renal failure. 177 interventions were performed (1.37 intervention per patient).
Our findings suggest a regression in obstetrical VVF. However many efforts on institutional, socioeconomic and obstetrical levels have to be done in order to eradicate this pathology that is of major handicap for women regarding socioeconomic, functional and psychological effects.
膀胱阴道瘘是泌尿生殖瘘最常见的类型。产科原因仍然是主要病因。它们仍然是一个公共卫生问题。目的：研究产科膀胱阴道瘘的流行病学特征及其治疗。
1982年2月至2007年1月对19个医院科室进行回顾性多中心研究。
131例膀胱阴道瘘（占泌尿生殖瘘的92%）。三分之二的病例采用阴道途径进行手术修复。瘘管平均直径为11.35毫米。122例（86.5%）为单发瘘管。83%的病例静脉尿路造影结果正常。除1例急性肾衰竭患者外，所有患者肾功能均正常。共进行了177次干预（每位患者1.37次干预）。
我们的研究结果表明产科膀胱阴道瘘有所减少。然而，为了根除这种在社会经济、功能和心理方面给女性带来重大障碍的疾病，必须在机构、社会经济和产科层面做出许多努力。
