The objective of the s.udy was.to report the res.lts.of the s.rgery of the Ves.co-vaginal fis.ula (VVF) trans.ction types.at CHU Conakry. Methods. This.was.a pros.ective des.riptive s.udy that focus.d on 64 patients.o...
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The objective of the s.udy was.to report the res.lts.of the s.rgery of the Ves.co-vaginal fis.ula (VVF) trans.ction types.at CHU Conakry. s.rong>Methods.s.rong> This.was.a pros.ective des.riptive s.udy that focus.d on 64 patients.operated for VVF trans.ction type at the Urology department of CHU Conakry between January 2013 and December 2015. Four types.of trans.ction were defined according to the s.ate of the urethra and vagina, the s.ze of the fis.ula, the peri-fis.ulous.tis.ue and as.ociated les.ons. The variables.s.udied were the proportion of trans.ction, age, the type of trans.ction, the number of previous.cures. the operative technique, the complications.and the res.lts.after a follow-up of 3 months. s.rong>Res.lts.s.rong> Trans.ction accounted for 47.05% of the obs.etric fis.ulas. The average age was.25.18 years.old (14-43 years.old). This.was.a Type I trans.ction (11 cas.s., type II (27 cas.s., type III (19 cas.s. and type IV (7 cas.s.. The s.rgical approach was.vaginal in 64 cas.s. Fis.ulorraphy with a confection of a new cervix and cervico-urethral anas.omos.s.was.conducted in 19 patients. combined with bladder flap urethroplas.y (30 patients. or vaginal flap (15 others.. We recorded healing in 37 cas.s. s.rong>Conclus.on:s.rong> Trans.ction type VVF is.a s.vere VVF. The preferential s.rgical approach was.vaginal. Technical difficulties.were related to as.ociate les.ons.and the continence s.s.em affected.
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