Obstetrical urogenital fistulas in the hospital of Segou, Mali

A prospective and longitudinal study of 18 months (December 2012 to May 2014), which took place in the department of general surgery of the hospital of Segou on the management of 56 cases of obstetric urogenital fistulas with the objective: to study obstetric urogenital fistulas in the hospital of Segou. The age range of 21 to 30 years was the most represented (41.1%). 41% of the patients contracted the fistula before the age of 20. 64.3% of the patients had a height between 151-160 centimeters. The living environment was conjugal in 69.6% of cases. Fistulas less than one year old constituted 46.4% of the sample. 51.8% of the patients had not received prenatal consultations. 66.1% had a long labor of 24 to 72 hours. 80.4% of the patients delivered in a health facility, by caesarean section in 55.3% of the cases and resulted in stillbirth in 94.6% of the cases. The fistula was type I in 30.4% of the cases, located in a soft vagina in 85.7% of the cases. 62.5% of the patients were at their first surgical repair. The vaginal route was the most commonly used (71.4%). The fistulas were closed and dried in 62.5%.