Abstract

A total of 49 women with vesicovaginal fistula were admitted to the gynecology ward of the University of Benin Teaching Hospital (Benin City Nigeria) during 1992-97. The mean age at presentation was 31 years (range 20-65 years). Mean parity was 3 (range 1-11); 27% of the patients were primiparae. The average duration of the antecedent labor was 3 days (range 2-7 days). 65.2% of patients had forceps vacuum extraction or emergency lower-segment cesarean section delivery. 13 patients (27.08%) had vesico-uterine fistula 15 (31.25%) had mid-vaginal fistula and 11 (22.92%) had juxtacervical fistula. The repair success rate was 81.3%. This series stands in contrast to the typical profile of vesicovaginal fistula: a young teenager presenting in her first pregnancy after prolonged obstructed labor. The poor quality of obstetric care at clinics maternity homes and medical centers and hospitals in Benin City is assumed responsible for the present cases.

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