Vesico-Vaginal Fistula of Obstetric Origin Inaccessible Vaginally, About A Case with Review of the Literature

Obstetric fistula, a complication of dystocic labor neglected in the social and developmental context, shows the progress made in improving health status in developing countries [1]. The difficulty of treating vesico-vaginal fistulas is well known and the proposed repair techniques are numerous [2]. The choice of the way of approach is not unequivocal, because the best way is that the comfort operatories [3]. We report a case of vesico-vaginal fistula of class IV; no work took place nevertheless in a haplite center, at a parturient of mature age. The operating difficulties encountered, and the early delay between the occurrence of fistula and the surgical treatment realize us a particular case.