Abstract
Introduction: Complete cervico-urethral transection is a vesicovaginal fistula characterized by total disinsertion of the urethra from the bladder. It is a fistula of the cervico-urethral intersection threatening the mechanism of continence. The aim of this study was to describe the epidemiological and therapeutic aspects of this type of fistula. Patients and Methods: This was a descriptive retrospective study on patients who have had surgery for cervico-urethral transection from June 01, 2012 to June 01, 2015. Results: Cervico-urethral transections (n = 76) accounted for 33.77% of all urogenital fistulas admitted to our department of surgery during the study period. The average age was 25.02 ± 8, 6 years. Married patients accounted for 85.58%, 72.36% had not received any classical education. Fistulas less than one year old made up 56.58% of cases, associated lesions were perineal tears 25.0%, vaginal sclerosis, 21.05%, vaginal straps, 13.15%, rectovaginal fistula, 2.63% and the shortness of the urethra less than 2.5 cm in 42.10% of cases. All surgeries were performed vaginally with a 98.68% fistula closure rate and an average of 1.68 surgeries per patient. After closure of the fistula, 10.67% of patients presented a residual urinary incontinence. Conclusion: Complete cervico-urethral transection is a frequent vesicovaginal fistula. She sometimes exposes to urinary incontinence after closing the fistula. The results of his surgery are often good at the cost of multiple intervention.
Highlights
Complete cervico-urethral transection is a vesicovaginal fistula characterized by total disinsertion of the urethra from the bladder
In the Ebers papyrus, 2000BC, it is written “if a woman has urine constantly flowing, she will lose it all her life”; in addition, a vesicovaginal fistula and a perineal tear were found on the mummy of Henhenit dated 2050BC [1] [2]
The prevalence of vesicovaginal fistula is not known, the WHO estimates that between 2 to 3 million women live with the fistula, the majority of which are in Africa [5] [6] and that the pathology has an annual incidence from 50,000 to 100,000 patients [6]
Summary
Complete cervico-urethral transection is a vesicovaginal fistula characterized by total disinsertion of the urethra from the bladder. Conclusion: Complete cervico-urethral transection is a frequent vesicovaginal fistula She sometimes exposes to urinary incontinence after closing the fistula. In the Ebers papyrus, 2000BC, it is written “if a woman has urine constantly flowing, she will lose it all her life”; in addition, a vesicovaginal fistula and a perineal tear were found on the mummy of Henhenit dated 2050BC [1] [2]. It usually occurs after difficult and prolonged labor [3]. The prevalence of vesicovaginal fistula is not known, the WHO estimates that between 2 to 3 million women live with the fistula, the majority of which are in Africa [5] [6] and that the pathology has an annual incidence from 50,000 to 100,000 patients [6]
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