Management of obstetric fistula at the mothers and children’s hospital in nouakchott, Mauritania.

Abstract

Introduction: The management of FVV in Mauritania went through many policies. It is being taken care of by The Mother and Child Hospital in Nouakchott, Mauritania, in collaboration with its partners. Tools And Methods : Descriptive retrospective medical study over 2 years (June 2015‑June 2017); the population studied consisted of all patients received and treated for obstetric istula at The Mother and Child Hospital in Nouakchott. Exclusion criteria set consisted of other pathologies than obstetric istula. Results : The total number of women treated in our study is 86 cases; the average age of the these women is 27.3 years; the socio‑economic level is low in 94 % of the cases. And 86 % of these women were divorced. There were 77 FVV and 9 FRV. Seventeen (17) cases were failures to a irst treatment. 19 cases were performed following a caesarean or a pelvic gynecological surgery, 1 case was related to a vaginal forelock forgotten for several months. The urinary catheter is kept for one week on average. 8 cases went through surgery through the high route. The rate of sucking is 97.56 %. It persisted in 4 cases with urinary incontinence stress. Discussion : The number of cases over 2 years is low mainly due to the dif iculty of recruitment and the sensitization of women to go through this treatment. The only point of treatment is in the Capital City far from the sick. The number of cases of iatrogenic origin is high. The success rate is similar to the other countries. Conclusion: The surgical management of the obstetric istula is still dif icult and poorly codi ied in Mauritania; development partners are not well involved in this and quali ied surgeons have turned their backs on this type of treatment