Association Of Vesico-Vaginal Fistula to The Congenital Ureter Abnormality: About Two Cases in Two African Countries

A significant number of preventable deaths occur during pregnancy and childbirth in developing countries where maternal mortality ranges from 500 to 1000 per 100,000 live births; for every woman who dies, an estimated 16 30 more survive with complications. Obstetric fistula can be considered the most tragic complication childbirth. WHO estimates that there are about 2 million cases VVF worldwide 50,000 new each year. [5, 6] The vast majority reported sub-Saharan Africa Southeast Asia qualified obstetric assistance is random. fistulas thus a major public health problem poor countries. abnormal communication between urinary tract (the ureter, bladder urethra) and/or digestive (rectum), on other hand genitals uterus vagina) occurring delivery. Various types distinguished: uretero-vaginal fistulas, vesico-uterine vesico-vaginal (VVFs). These take into account uretro- vaginal fistulas. RVF, associated or not VVF, rectum vagina. common VVFs. Many etiologies recognized VVFs, but studies have shown cases, cause. Fistula occurs as result obstructed labor characterized by prolonged delivery without possibility caesarean section. Uretero-vaginal ectopic drainage ureter vagina causing permanent flow urine through Although congenital origin rare, iatrogenic etiology remains section poorly performed hysterectomy. It results ligation damage at its crossing uterine artery. attached wall eventually drains within few hours days procedure. Duplicity uretero-pyelic bifidity rare uropathies whose surgical discovery diagnostic method high-tech affordable. rarity pathology non-systematic prescription certain analysis (as IVU) preoperative assessment urogenital justify paucity literature this subject.