Present history of obstretrical vesicovaginal fistulas in the maternity ofCasablanca.

Obstetrical vesicovaginal fistulas are secondary to dystocia. Late and inap propriate treatment are still a health public problem in under development countries. In five years (1993-1997), twelve vesicovaginal fistulas were re pertoried in the department of obstetrics and gynaecology of Casablanca (Mo rocco) with a frequency of 0.33%. deliveries and 2.4 new cases a year. 80% of the cases occurred after a long labour without efficient obstetrical car e. Most of the cases (75%) were simple with an easy surgical treatment. All the fistulas were resolved after one or two surgical procedures realised b y vaginal route in eight cases (2/3). During these last decades, with the e fforts in obstetrical care in our country, we are assisting in a diminution of the frequency of this pathology and specially the number of complicated fistulas. (C) 2001 Editions scientifiques et medicales Elsevier SAS.