Epidemiological, Therapeutics Aspects and Socioeconomics Consequences of Urogenital Fistula

Abstract

Introduction: The aim of this study was to analyze epidemiological, therapeutics aspects and socioeconomics consequences of this disease. Material and methods: Retrospective study realized in our service from 1^er January 2016 to 30 May 2018. All managed UGF were enrolled. Results: 147 cases of UGF were enrolled accounting for 20, 41% of our activities. Mean age: 34, 06±21, 81. The majority of patients came from SKO rural area and 98, 63% of them are housewife doing no rewarded jobs. Obstetrics fistula was predominant with prolonged obstructed labor as the main etiology. Urine leakage was the main reason for seeking consultation. Simple fistulorraphy under loco regional anesthesia has been performed and the result was globally good (78%). HUC Point G classification have been adopted for fistula description. There is an appropriate surgical abscess way for every type of fistula and this study showed a significant difference between different type of fistula in term of surgical operation length, number of surgery and therapeutic prognostic. Conclusion: UGF remains a public health problems. Girl’s socioeconomic life promotion, Education and raising awareness against some bad traditional practice and skilled obstetric facilities attendance could be helpful for prevention. Standard classification seem to be necessary in the way to help in surgeon training and objectively evaluate our result.