Uterovesical fistula and its treatment in Sub-Saharan Africa.

Abstract

Aim of the study to summarize the current information on diagnostic and treatment options for uterovesical fistula as a consequence ofiatrogenic complication.Methods:Literature review of available information on surgical treatment options for uterovesical fistula resulting from previous caesarean section and comparison withour own experience in the developing world.Conclusion:Uterovesical fistula is an abnormal communication between the bladder and uterus. The cause of this pathology in most cases is aniatrogenic complication, most commonly arising after a caesarean section. The incidence of this pathology varies significantly geographically. In developed countries, these fistulas are rather rare. On the other hand, in developing countries, uterovesical fistulas are more common with a significant impact on the subsequent life of the patient due to generally inaccessible health care.