Journal of Gynecology and Obstetrics

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Obstetric Vesicouterine Fistulas: About 26 Cases Managed at Cocody’s University Hospital (Abidjan-Cote d’Ivoire)

Received: 26 January 2017    Accepted: 14 February 2017    Published: 02 March 2017
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Abstract

The aim of this work is to recall the etiopathogenic, diagnostic and therapeutic aspects of vesicouterine fistulas. This is a prospective study of 26 cases of obstetric vesicouterine fistula cared for in Cocody University Hospital Center (Abidjan, Cote d’Ivoire) between 07/09/11 and 24/04/2015. Early in the disease, patients were all in reproductive age with a different obstetrical history. The mean duration of the signs before diagnosis was 6 years. Etiologies are largely dominated by caesarean sections (69%) which four iteratives. The classic Youssef’s triad syndrome had represented 42.3%. Both hysterography and cystography were sufficient to establish the diagnosis of vesicouterine fistula in all cases. All patient underwent transperitoneal laparotomy repair. Peritoneal patch had been necessary in two cases and in four cases a hysterectomy was performed. Functional outcome was satisfactory. Vesicouterine fistula is a rare obstetric complication and very often iatrogenic. The good prognosis after repairing should not make us forget that this pathology seriously affects the quality of life of the patient. There must be a permanent and quality prevention.

DOI 10.11648/j.jgo.20170501.13
Published in Journal of Gynecology and Obstetrics (Volume 5, Issue 1, January 2017)
Page(s) 20-24
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Obstetric Fistulas, Vesicouterine Fistulas, Youssef’s Syndrome

References
[1] Browning A, Whiteside S: Characteristics, management, and outcomes of repair of rectovaginal fistula among 1100 consecutive cases of female genital tract fistula in Ethiopia. Inter J Gyn Obstet 2015; 131: 70-3.
[2] Dumurgier C, Falandy L: La chirurgie des fistules obstétricales: Bull Acad Natle Med 2012; 196,8: 1535-56.
[3] Ndiaye P, Kinin AP, Adama F, Idrissa A, Tal-Dia A. Fistule urogénitale d’origine obstétricale: Coùt de la prise en charge à l’hopital national de Niamey (Niger). Revue d’Epidémiologie et de Santé Publique 2009; 57, 5: 374-9.
[4] Konan KP, Fofana A, Kramo NF, Vodi CC, Gowe EE, Dekou AH et al. Les fistules urogénitales dans le service d’urologie du CHU de Cocody. Aspects évolutifs de 1990 à 2010. Uro’Andro 2015; 1,3: 157-61.
[5] Kochakarn W, Pummangura W. A new dimension in vesicovaginal fistula management: An 8 years experience at Ramathibodi hospital. Asian J Surg 2007; 30: 267-71.
[6] Creanga AA, Genadry RR. Obstetrics fistulas: a clinical review. Int J gynaecol Obstet 2007; 99 suppl1:S40-6.
[7] Raashid Y, Tmajeed T, Mmajeed N, Shahzad N. Iatrogenic vesicovaginal fistula. J Coll Physicians Surg Pak 2010;20 (2): 436-8.
[8] Majeed SM, subhani SS. An unusual case of Youssef’s syndrome (vesicouterine fistula) and its relationship with placenta percreta. J coll physicians surg pak 2007; 17 (3): 168-9.
[9] Dilruba A, Salahuddin S, Ferdousi I, Saria T. Successful pregnancy following repair of vesicouterine fistula following repeat caesarean section: A case Report. BSMMU J 2012; 5(1): 76-8.
[10] Drissi M, Karmouni T, Tazi K, El Khader K, Koutani A, Ibn Attya A et al. Les fistules vésico-uterines: une expérience de 17 ans. Prog Urol 2008;18,3: 173-6.
[11] Shanmugasundaram R, Gopalakrishnan G, Kebre SN. Youssef’s syndrome: is there a better way to diagnose? Indian J Urol 2008; 24(2): 269-70.
[12] Onsrud M, Sjoveian S, Mukwege D. Cesarean delivery-related fistulae in the Democratic Republic of Congo. Int J Gynecol Obstet 2011; 114: 10-4.
[13] Rajamaheswari N, Chhikara AB. Vesicouterine fistulae: our experience of 17 cases and literature review. Int Urogynecol J 2013; 24: 275-9.
[14] Ikechebelu IJ, Ugboaji JO, Okeke CF. Postcesarean vesicoterine (Youssef syndrome): reporte of two cases. J Obstet Gynaecol Research 2011; 37, 7: 912-5.
[15] Shephard NS, Lengmang SJ. The missig foley catheter: an unusual finding in vesicouterine fistula. J Surg Case Rep 2013(12): rjt115.
[16] Wiborg MH, Walter S. Fistula as cause of cyclic haematuria in women. Ugeskr Laeger 2014 Dec 15; 176 (25A). Pii: v09120556.
[17] Tasdemir N, Abali R, Celik C, Yazici CM, Akkus D. The use of and anterior abdominal wal peritoneal flap in the laparoscopic repair of vesicouterine fistula. Int Surg 2014; 99(5): 673-6.
[18] Fenkei IV, Demirbas M, Oztekin O. Sonohysterography in evaluation of Youssef’s sydrome. Int Urogynecol J 2010; 21(5): 607-8.
[19] Gharoro EP, Enabudoso EJ, Gharoro EE. Sonographic appearance of youssef’s syndrome: a case reported and literature review. Open J Obstet Gynecol 2013; 3:553-5. doi:10.4236/ojog.2013.37099.
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Author Information
  • Paris Descartes University, Sud Francilien Hospital Center (Woman-Mother-Child Pole), Paris, France; Felix Houphouet-Boigny’ University, Faculty of Medical Sciences (Mother and Child Department, University Hospital of Cocody), Abidjan, Cote d’Ivoire

  • Paris Descartes University, Sud Francilien Hospital Center (Woman-Mother-Child Pole), Paris, France

  • Felix Houphouet-Boigny’ University, Faculty of Medical Sciences (Mother and Child Department, University Hospital of Cocody), Abidjan, Cote d’Ivoire

  • Felix Houphouet-Boigny’ University, Faculty of Medical Sciences (Mother and Child Department, University Hospital of Cocody), Abidjan, Cote d’Ivoire

  • Felix Houphouet-Boigny’ University, Faculty of Medical Sciences (Mother and Child Department, University Hospital of Cocody), Abidjan, Cote d’Ivoire

  • Felix Houphouet-Boigny’ University, Faculty of Medical Sciences (Mother and Child Department, University Hospital of Cocody), Abidjan, Cote d’Ivoire

  • Felix Houphouet-Boigny’ University, Faculty of Medical Sciences (Mother and Child Department, University Hospital of Cocody), Abidjan, Cote d’Ivoire

Cite This Article
  • APA Style

    Vedi Andre Loue, Mamadou Salia Traore, Kouadio Achille Koffi, Cassou Roland Adjoby, Arthur Didier Kouame, et al. (2017). Obstetric Vesicouterine Fistulas: About 26 Cases Managed at Cocody’s University Hospital (Abidjan-Cote d’Ivoire). Journal of Gynecology and Obstetrics, 5(1), 20-24. https://doi.org/10.11648/j.jgo.20170501.13

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    ACS Style

    Vedi Andre Loue; Mamadou Salia Traore; Kouadio Achille Koffi; Cassou Roland Adjoby; Arthur Didier Kouame, et al. Obstetric Vesicouterine Fistulas: About 26 Cases Managed at Cocody’s University Hospital (Abidjan-Cote d’Ivoire). J. Gynecol. Obstet. 2017, 5(1), 20-24. doi: 10.11648/j.jgo.20170501.13

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    AMA Style

    Vedi Andre Loue, Mamadou Salia Traore, Kouadio Achille Koffi, Cassou Roland Adjoby, Arthur Didier Kouame, et al. Obstetric Vesicouterine Fistulas: About 26 Cases Managed at Cocody’s University Hospital (Abidjan-Cote d’Ivoire). J Gynecol Obstet. 2017;5(1):20-24. doi: 10.11648/j.jgo.20170501.13

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  • @article{10.11648/j.jgo.20170501.13,
      author = {Vedi Andre Loue and Mamadou Salia Traore and Kouadio Achille Koffi and Cassou Roland Adjoby and Arthur Didier Kouame and Akpa Yehi Gbary and Ehouman Serge Boni},
      title = {Obstetric Vesicouterine Fistulas: About 26 Cases Managed at Cocody’s University Hospital (Abidjan-Cote d’Ivoire)},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {5},
      number = {1},
      pages = {20-24},
      doi = {10.11648/j.jgo.20170501.13},
      url = {https://doi.org/10.11648/j.jgo.20170501.13},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.jgo.20170501.13},
      abstract = {The aim of this work is to recall the etiopathogenic, diagnostic and therapeutic aspects of vesicouterine fistulas. This is a prospective study of 26 cases of obstetric vesicouterine fistula cared for in Cocody University Hospital Center (Abidjan, Cote d’Ivoire) between 07/09/11 and 24/04/2015. Early in the disease, patients were all in reproductive age with a different obstetrical history. The mean duration of the signs before diagnosis was 6 years. Etiologies are largely dominated by caesarean sections (69%) which four iteratives. The classic Youssef’s triad syndrome had represented 42.3%. Both hysterography and cystography were sufficient to establish the diagnosis of vesicouterine fistula in all cases. All patient underwent transperitoneal laparotomy repair. Peritoneal patch had been necessary in two cases and in four cases a hysterectomy was performed. Functional outcome was satisfactory. Vesicouterine fistula is a rare obstetric complication and very often iatrogenic. The good prognosis after repairing should not make us forget that this pathology seriously affects the quality of life of the patient. There must be a permanent and quality prevention.},
     year = {2017}
    }
    

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