Prevalence and Experience with Ureteric Fistula in a Comprehensive Obstetric Fistulae Care Facility in Jos North- Central Nigeria;

Abstract

Urinary incontinence resulting from genital fistulae has been on the increase for over a decade now due to increased fistula care and treatment awareness and improvement in access to care and treatment coupled with community awareness program in which care and treatment: intervention are now made possible close to where the sufferers of fistulae live. A study carried out in our facility in 2007 showed an annua) fistulae case of about 300, while we currently diagnose between 400 and 500 cases annually. Besides vesicovaginal fistula (WF) which is the commonest female genital fistula, ureterovaginal fiitula (UVF) appears to also be on the increase. We therefore carried out a review of the diagnosis and surgical outcomes of ureteric fistulae in order to ascertain the proportion of the female genital fistulae that are version 26.0ver the period of review, 2445 fistulae cases were diagnosed out of which 103 were ureteric fistulae/uretero-vag nal fistula (UVF) giving us a prevalence of 4.2%. The leading aetiological factors Myomectomy 13 (12.6% of 103) and congenital 9 (8.7% of 103). The surgical success rate was 98.1% both at 3 and 6 mmths post-surgical repair. From the study, Caesarean delivery is a common procedure in obstetric and delivery practice after vaginal delivery and was responsible Ureterovaginal fistulae have become a the left ureter affected more than the r 103 cases and less morbidity recorded is a reflection of surgical competency and efficiency of the Fistulae care and treatment team at the centre. Keywords: Evangel VVF centre. Fistula, Iblorth central Nigeria, Ureteric, Uretero-vaginal- fistula :