Female Genital Fistulas of Iatrogenic Origin: Epidemiological, Diagnostic and Therapeutic Aspects

Introduction: Genital fistulas communicate an element of the urinary system and an element of the genital system. They are a major public health problem. Our study took place at the National Reference Center for Obstetric Fistulas (CNRFO). Methodology: This was a retrospective and descriptive study covering a two-year period from January 1, 2023 to December 31, 2024. Results: A total of 23 cases of genital fistulas of iatrogenic origin were collected. The average age was 36.69 years. The most common genital fistula etiology was hysterectomy in 69.6% of cases. The main reason for consultation was dominated by urinary leakage through the vagina in 87% of cases. All patients had benefited from a standard biological check-up in 100% of the cases each. With 54.5% of cases, the low track was the most realized. Fistuloraphy was the most practiced technical gesture, 59% of cases. The evolution was favorable in 95.7% of cases. Conclusion: Genital fistulas of iatrogenic origin are becoming a relatively common complication of cesarean section and hysterectomy in developing countries including Niger. Its eradication must go through prevention, training in surgery based on the acquisition of sustainable skills.