Title: Quality care in vesico-vaginal obstetric fistula: case series report from the regional hospital of Maroua-Cameroon
Author(s): Pierre Marie Tebeu, Joseph Nelson Fomulu, Achille Aurelien Mbassi, Jean Marie Tcheliebou, Anderson Sama Doh, Charles-Henry Rochat
Publication date: 27.04.2010
Link: https://dx.doi.org/10.4314%2Fpamj.v5i1.56192
Category : Research

Some studies present the result of obstetric vesico-vaginal fistula (VVF) repair including repeating operations for the same patient [1]. Other studies present the result only as successful closure without taking into consideration the continence status [2]. WHO proposes the successful closure rate for first repair at 85% in each facility with the continence achievement among the closed cases at 90 % [3]. In a recent study, we reported the risk factors for obstetric fistula in far North Cameroon [4], however, little is known about the treatment outcome. The objective of this study was to analyze the vesico-vaginal obstetric fistula outcome at the Regional Hospital of Maroua-Cameroon.


The mean age of the 32 patients at the time of intervention was 36.2 (SD: 14.3) years; 30(94%) of women had no occupation; 7(22%) were divorced; 4(12.5%) were widows and 28(88%) had no formal education; 18(56.3%) patients did not have antenatal care during the indexed pregnancy; 27(84.4%) of patients had been in labor for more than 12 hours and 28 (87.5%) pregnancies resulted in stillbirth.