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Abstract

Our objective was to assess the contribution of general practitioners trained in fistula repair in Burundi. We conducted a retrospective, descriptive study, collecting 70 cases from June 2020 to May 2021 at Gitega Regional Hospital, 47.1% being under 30 years old, 77.1% of whose fistulae were successfully repaired with lasting continence regained within six months. This demonstrates that training of general practitioners in vesico-vaginal fistula repair has filled a gap resulting from the lack of surgeons in Burundi.

Keywords

Vesico-vaginal fistula fistula repair general practitioners Burundi

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References

Goodwin

Scardino

. Vesico-vaginal and ureterovaginal fistulas: a summary of 25 years of experience. J Urol 1980; 123: 370–374.

Wall

. Obstetric vesico-vaginal fistula as an international public health problem. Lancet 2006; 368: 1201–1209.

Alio

Merrell

Roxburgh

, et al. The psychosocial impact of vesico-vaginal fistula in Niger. Arch Gynecol Obstet 2011; 284: 371–378.

Fund UNP: Evaluation de L’ampleur des fistules obstetricales et traumatiques au Burundi. Burundi: Bujumbura, 2006.

Oakley

Brown

Greer

, et al. Management of vesicovaginal fistulae: a multicentre analysis from the fellows pelvic research network. Female Pelvic Med Reconstr Surg 2014; 20: 7–13.

Kocharkarn

Pummangura

. A new dimension in vesicovaginal fistula management: an 8-year experience at Ramathibodi hospital. Asian J Surg 2007; 30: 267–271.

Ghoniem

Warda

. The management of genitourinary fistula in the third millennium. Arab J Urol 2014; 12: 97–105.

Angioli

Penalver

Muzii

, et al. Guidelines of how to manage vesicovaginal fistula. Crit Rev Oncol Hematol 2003; 48: 295–304.

Kayondo

Wasswa

Kabakyenga

, et al. Predictors and outcome of surgical repair of obstetric fistula at a regional referral hospital, Mbarara, western Uganda. BMC Urol 2011; 11: 23.

10.

Hawkins

Spitzer

, et al. Characteristics and surgical success of patients presenting for repair of obstetric fistula in western Kenya. Int J Gynaecol Obstet 2013; 120: 178–182.

11.

Bazi

. Spontaneous closure of vesicovaginal fistula after bladder drainage alone: review of the evidence. Int Urogynecol J Pelvic Floor Dysfunct 2007; 18: 475.

12.

Raz

Bregg

, et al. Transvaginal repair of vesico-vaginal fistula using a peritoneal flap. J Urol 1993; 15: 56–59.

13.

Iselin

Alsan

Webster

. Transvaginal repair of vesico-vaginal fistulas after hysterectomy by vaginal cuff excision. J Urol 1998; 160: 728–730.

14.

Ijaiya

Rahman

, et al. Vesicovaginal fistula: a review of Nigerian experience. West Afr J Med 2011; 29: 293–298.

15.

Demisew

Ahadu

Desta

. Characteristics and repair outcome of patients with vesicovaginal fistula managed in Jimma University teaching Hospital, Ethiopia. BMC Urol 2016; 16: 41.

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