Epidemiology of vesico-vaginal fistula: No longer a calamity of teenagers

  • Audu B
  • Kullima A
  • Bako B
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Abstract

A total of 88 cases of vesico-vaginal fistula (VVF) managed between January 1995 and December 2004 in the University of Maiduguri Teaching Hospital, Maiduguri, Nigeria were analysed. Data pertaining to age, parity, literacy level, possible aetiologic factors and outcomes in terms of cure were collected. Results of the analysis showed that VVF constituted 1.4% of the total gynaecological admissions and 8.0% of the major gynaecological surgeries performed during the period. Majority of the patients (76.2%) were over 20 years, with a peak age-specific prevalence rate of 33.8% at the 20-24 years age group. Teenagers only accounted for 23.8%. Most patients sustained the VVF during their first childbirth (51.3%), by the second delivery (78.8%), and by the fifth delivery (2.5%). All teenagers had one delivery, while all the grand multipara were 40 years and above. 72 (90%) patients had no supervised antenatal care and had their deliveries at home under the supervision of an untrained traditional birth attendant. The 8 patients who delivered in the hospital laboured at home before admission to the hospital. Prolonged obstructed labour (n=65, 85%) was the leading cause of VVF, while instrumental vaginal delivery was identified as the cause of VVF in 8 (10%). The other aetiological factors of VVF are Gishiri cut and cervical cancer (2 patients each). 60 patients had successful repair of VVF and were discharged in good condition.

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Authors

  • B. M. Audu

  • A. A. Kullima

  • B. Bako

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