Vesicouterine Fistula in Burkina Faso: Report of 36 Cases in a Multicentric Study

  • Boureima Ouedraogo
  • Brahima Kirakoya
  • Moussa Kabore
  • Adama Millogo
  • Adama Ouattara
  • Fasnewinde Aristide Kabore
Keywords: Vesicouterine fistula, Caesarean, bladder, uterus, Burkina Faso


Objective To report etiological and therapeutic features of vesicouterine fistulas (VUF) in Burkina Faso.
Patients and Methods We performed a retrospective, descriptive, and multicentric study based on the medical
records of women treated for VUF from January 2010 to December 2016.
Results VUF accounted for 7.2% (36/497) of urogenital fistulas managed during the study period. The median
age of the 36 patients was 35 years (interquartile range = 27 to 37.5 years) with values ranging from 16 years to 64
years old. Among VUF, obstetric fistula accounted for 26 cases (26/36) versus 10 cases (10/36) of iatrogenic fistula.
Obstetric VUF were consecutive to emergency Caesarean section (n = 16) and vaginal delivery (n = 10) after
prolonged obstructed labor. The 10 cases of iatrogenic VUF were subsequent to prelabour Caesarean section. The
main circumstance of VUF occurrence was Caesarean section (26/36). In 10 cases (10/36), VUF was associated with a
vesicovaginal fistula. Thirty days after the removal of the catheter, the success rate fell from 89% to 80.6%.
Conclusion VUF is rare but its frequency is not negligible in our context. The main circumstance of occurrence
remains Caesarean section. The best treatment remains prevention.

How to Cite
Ouedraogo, B., Kirakoya, B., Kabore, M., Millogo, A., Ouattara, A., & Kabore, F. A. (2021). Vesicouterine Fistula in Burkina Faso: Report of 36 Cases in a Multicentric Study. Société Internationale d’Urologie Journal, 2(4).
Original Research