Author(s)

Dramane Cisse^1*, Abdoulaye Traore², Honoré Jean Gabriel Berthe², Mory Kone¹, Modibo Coulibaly¹, Diamilatou Thiam³, Djibril Traoré¹, Bréhima Traoré¹, Mamadou Tidiani Coulibaly², Alkadri Diarra², Amadou Kassogue³, Moussa Salifou Diallo³, Oumar Guindo³

¹Hôpital Sominé DOLO de Mopti, Mopti, Mali.
²Université des Sciences des Techniques et des Technologies de Bamako (USTTB), Bamako, Mali.
³Direction Régionale de la Santé de Mopti, Mopti, Mali.

Introduction: Complete cervico-urethral transection is a vesicovaginal fistula characterized by total disinsertion of the urethra from the bladder. It is a fistula of the cervico-urethral intersection threatening the mechanism of continence. The aim of this study was to describe the epidemiological and therapeutic aspects of this type of fistula. Patients and Methods: This was a descriptive retrospective study on patients who have had surgery for cervico-urethral transection from June 01, 2012 to June 01, 2015. Results: Cervico-urethral transections (n = 76) accounted for 33.77% of all urogenital fistulas admitted to our department of surgery during the study period. The average age was 25.02 ± 8, 6 years. Married patients accounted for 85.58%, 72.36% had not received any classical education. Fistulas less than one year old made up 56.58% of cases, associated lesions were perineal tears 25.0%, vaginal sclerosis, 21.05%, vaginal straps, 13.15%, rectovaginal fistula, 2.63% and the shortness of the urethra less than 2.5 cm in 42.10% of cases. All surgeries were performed vaginally with a 98.68% fistula closure rate and an average of 1.68 surgeries per patient. After closure of the fistula, 10.67% of patients presented a residual urinary incontinence. Conclusion: Complete cervico-urethral transection is a frequent vesicovaginal fistula. She sometimes exposes to urinary incontinence after closing the fistula. The results of his surgery are often good at the cost of multiple intervention.

Vesicovaginal Fistula, Cervico-Urethral Transection, Urinary Incontinence, Urethra, Bladder

Cisse, D. , Traore, A. , Berthe, H. , Kone, M. , Coulibaly, M. , Thiam, D. , Traoré, D. , Traoré, B. , Coulibaly, M. , Diarra, A. , Kassogue, A. , Diallo, M. and Guindo, O. (2021) Complete Cervico-Uretral Transections: A Vesicovaginal Fistula Not Like the Other. Open Journal of Urology, 11, 73-86. doi: 10.4236/oju.2021.113008.