Keywords
delivery
perinatal mortality
Maradi, Niger
How to Cite
Abstract
Introduction :
A daily reality experienced in our countries, female genital fistula, the main cause of which is obstetric, remains a public health problem. The objective of this work was to study the socio-demographic, clinical and therapeutic aspects of women victims of genital fistulas at the Maradi Mother and Child Center.
Methods and Materials :
Through a retrospective cross-sectional study with a descriptive aim concerning all women treated for female genital fistula at the Maradi Mother and Child Health Center from 2015 to 2018.Results: 76 cases of female genital fistulas were treated. The majority of these women come from unfavorable backgrounds with 90.79% illiterate, 96.05% are housewives, and 88.16 came from rural areas. The most affected age group is between 15-24 years old, i.e. 40.79% of cases. For obstetric fistulas, 42.65% are primiparous. For 65.79% of cases, the duration of the fistula is between 1 and 3 months, 89.48% are fistulas of obstetric origin, 92.11% are vesicovaginal type, 63.16% had no previous cure before their admission; The most observed mode of delivery of obstetric cases is the vaginal route with 61.77% of cases, the perinatal mortality is very high with 73.53% of deaths. The rate of closed fistulas represented 80.26% of women operated with stress incontinence in 10.52% of cases.
Conclusion :
Female genital fistula is a public health problem in Niger. Obstetric fistula is the most common and highlights the problem of the 3 delays with its maternal and neonatal consequences.
References
1. Lydia Babatunde Bulndi, Deborah Ireson, 1417B Esther Adama and Sara Bayes.Sub-Saharan African women’s views and experiences of risk factors for obstetric fstula: a qualitative systematic review. BMC Pregnancy and Childbirth. 2022 ; 22:680. https://doi.org/10.1186/s12884-022-05013-2
2. Konan PG, Fofana A, Kramo NF, Vodi CC, 1418B Gowe EE, Dekou AH et al : Les fistules urogénitales (FUG) dans le service d’urologie du CHU de Cocody - aspects évolutifs de 1990 à 2010- URO’ANDRO. 2015 ;3 (1) ,38-79.
3. Hounkponou NFM, Ahouingnan Y, Atade 1419B RS, Biaou COA, Alassane Y, Gbevo S et al. Facteurs associés à la guérison des porteuses de fistules obstétricales à la maternité de l’hôpital Saint Jean de Dieu (HSJD) de Tanguieta au Benin de 2015 à 2016- journal de la SAGO, 2020 ;21(2), p.8-
4. Vangeenderhuysen, A. Prual, D. Ould el 1420B Joud: Obstetric fistulae: incidence estimates for sub-Saharan Africa - Int J Gynecol Obstet. 2001 ;73(1) :65-6.
5. A. Diallo, I.S. Balde, G. Loua, N. Diakite, O. 1421B Balde, F.B. Diallo et al : Déterminants socioanthropologiques de la prévalence élevée des fistules obstétricales en Guinée - la Revue de la Société Francophone de Médecine Tropicale et Santé Internationale 2021.
6. Polan ML, Sleemi A, Bedane MM, Lozo S, 1422B Morgan MA. Obstetric Fistula. In: Debas HT, Donkor P, Gawande A, Jamison DT, Kruk ME, Mock CN, editors. Essential Surgery: Disease Control Priorities, Third Edition (Volume 1).2015 Apr 2. Chapter 6. PMID: 26740998.
7. Ngongo CJ, Raassen TJIP, Mahendeka M, 1423B Lombard L, van Roosmalen J, Temmerman M. A retrospective review of genital fistula occurrence in nine African countries. BMC Pregnancy Childbirth. 2022 ;22(1):744. doi: 10.1186/s12884-022-05051-w.
8. Harouna YD, Seibou A., Maikano S., 1424B Djambeidou J., Sangare A., Bilane SS., Abdou HM. La fistule vesico-vaginale de cause obstétricale : Enquête auprès de 52 femmes admises au village des fistuleuses. Méd Afr Noire .2001 ; 48 (2) 55-59.
9. Nathalie Maulet Perspectives des femmes 1425B prises en charge pour fistule obstétricale au Mali et au Niger – université catholique de Louvain - Thèse présentée en vue de l’obtention du grade de docteur en santé publique - Secteur des sciences de la santé – Belgique - 2008-2010
10. Komanda likwekwe E., Lupay A., Maindo 1426B alongo M-A., Okenge L., Fistules urogénitales : étude épidémiologique et clinique dans deux hôpitaux généraux du district de la Tshopo, Kisangani-RDC, KisMed .2014 ; 5(2) :77-81
11. Tekle G. Egziabher, Ngoga Eugene, Karenzi 1427B Ben and Kateera Fredrick.Obstetric fistula management and predictors of successful closure among women attending a public tertiary hospital in Rwanda: a retrospective review of records, BMC Res Notes (2015) 8:774 DOI 10.1186/s13104-015-1771-y
12. Ache Haroun, Mahamat Ali Mahamat, 1428B Saleh Abdel Salam, Haway Cherif, Mohamed Jalloh, Lamine Niang, Serigne Ma Gueye. The Epidemiological, Clinical and Therapeutical Aspects of the Vesicovaginal Fistula at the National Fistula Treatment Center in N'Djamena. International Journal of Clinical Urology. 2020;4(1): pp. 34-38 doi: 10.11648/j.ijcu.20200401.18
13. Konan PG, Fofana A, Kramo NF, Vodi CC, 1429B Gowe EE, Dekou AH et all, Les fistules urogenitales dans le service d’urologie du CHU de Cocdy. Aspects évolutifs de 1990 à 2010. Uro-andro. 2015 ; 1 (3): 157-61
14. Tayler-Smith K, Zachariah R, Manzi M, 1430B Van den Boogaard W, Vandeborne A, Bishinga A et al. Obstetric Fistula in Burundi: a comprehensive approach to managing women with this neglected disease, in BMC Pregnancy Childbirth. 2013; Aug 21, 13 (1): 164p.
15. Kaboré FA, Kambou T, Ouattara A, Zango 1431B B, Yaméogo C, Kirakoya B, Franquebalme JP, Eglin G, Thoreau F, Chuzel JL, Albert P. Aspects épidémiologiques, étiologiques et impact psychosocial des fistules urogénitales dans une cohorte de 170 patientes consécutives, prises en charge dans trois centres du Burkina Faso de 2010 à 2012. Progrès en urologie. 2014 Jun 1;24(8):526-32.
16. Joseph Bulanda Nsambi, Olivier Mukuku , 1432B Jean-de-Dieu Foma Yunga , Xavier Kinenkinda, Prosper Kakudji , Justin Kizonde et all . Fistules obstétricales dans la province du Haut-Katanga, République Démocratique du Congo: à propos de 242 cas , Pan African Medical Journal. 2018;29:34.doi:10.11604/pamj.2018.29.34.14
17. Dekou HA, Konan PG, Manzan K, Ouegnin 1433B GA, Djedje-Mady A, Yao Dje C Study of urogenital fistulas in the Ivory Coast at the end of the 20th century. Results of 70 cases. Ann Urol (Paris). 2002 ;36(5):334-40.
18. 18. Kayondo M, Wasswa S, Kabakyenga J, 1434B Mukiibi N, Senkungu J, Stenson A et al. Predictors and out come of surgical repair of obstetric fistula at a regional referral hospital, western Uganda, J Urol. 2011; 7: 11-23.
19. Moudouni S, Nouri M, Koutani A, Ibn 1435B Attya A, Hachimi M, Lakrissa A. Les fistules vésico-vaginales obstétricales. A propos de 114 cas, Hôpital Avicenne, Rabat, Progrès en Urologie.2001, 11 : 103-108.
20. Idi N, Brah NH, Idrissa A, Djangnikpo L, 1436B Assoumana Z. Multicentric Study of 148 New Cases of Female Genital Fistula Niger. Open Journal of Obstetrics and Gynecology. 2018; 8(14):1631-1639.
21. Hillary, M. (2004) Characteristics of Women 1437B Admitted with Obstetric Fistula in the Rural Hospitals in West Pokot, Kenya. Post Graduate Training Course in Reproductive Health. http://www.gfmer.org.
22. Pierre Marie T , Jean Pierre KO , Estelle 1438B Carine NZ, Jesse Saint SA, Charlemagne SM et al. Besoins en réinsertion psycho-sociale et économique des patientes opérées de fistule vésico-vaginale au Cameroun. PAMJ Clinical Medicine. 2020;2:138. [doi: 10.11604/pamj-cm.2020.2.138.22057]
23. Muleta M, Rasmussen S, Kiserud T. 1439B Obstetric Vesicovaginal Fistula as an International Public-Health Problem ; Obstetric fistula in 14,928 Ethiopian women. Acta Obstet Gynecol Scand. 2010 ;89(7) :945-951. doi: 10.3109/00016341003801698.
24. Itengre Ouedraogo, Christopher Payne, 1440B Rahel Nardos, Avril J. Adelman, L. Lewis Wall. Obstetric fistula in Niger: 6-month postoperative follow-up of 384 patients from the Danja Fistula Center. Int Urogynecol J. 2018 ; 29 :345–351 DOI 10.1007/s00192-017-3375-7
25. Zeleke LB, Welsh A, Abeje G, Khejahei M. 1441B Proportions and determinants of successful surgical repair of obstetric fistula in lowand middle-income countries: A systematic review and meta-analysis. PLoS One. 2024 May 9;19(5):e0303020. doi: 10.1371/journal.pone.0303020.
Metrics
Downloads
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2026 A Amadou Issa, M Oumara, D Hamidou Soumana, G Younsou, B Moussa, R Hassane, S Oumarou Garba, Z Lankoandé, M Garba, M Nayama