{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T18:55:10Z","timestamp":1790362510922,"version":"4.1.0"},"reference-count":20,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2007,8,28]],"date-time":"2007-08-28T00:00:00Z","timestamp":1188259200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2007,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine the epidemiologic and therapeutic characteristics of obstetric vesico\u2010vaginal fistulas at the National Hospital of Niamey, Niger.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From December 2003 to February 2005, 111 consecutive patients with vesico\u2010vaginal fistulas presenting for treatment were included and prospectively followed up. Demographic and clinical data were collected. The patients were re\u2010evaluated 3\u00a0months after surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among the 104 patients treated surgically 87% were aged between 15 and 36 years; 84% were married before they were 19 years old; 51% were divorced; and 80% did not live with their husbands. The fistula was caused by the first delivery in 43% of the patients; 93% were in labor for more than 24 hours; 35% were delivered at home; and perinatal death was 100%. The overall cure rate was 73%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>These epidemiologic characteristics provide data towards the development of an obstetric fistula prevention program in Niger.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2007.06.012","type":"journal-article","created":{"date-parts":[[2007,8,29]],"date-time":"2007-08-29T11:12:04Z","timestamp":1188385924000},"source":"Crossref","is-referenced-by-count":23,"title":["Obstetric vesico\u2010vaginal fistulas at the National Hospital of Niamey, Niger"],"prefix":"10.1002","volume":"99","author":[{"given":"I.","family":"Nafiou","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Idrissa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.K.","family":"Gha\u00efchatou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.L.","family":"Roenneburg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.R.","family":"Wheeless","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.R.","family":"Genadry","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2007,8,28]]},"reference":[{"key":"e_1_2_7_2_2","unstructured":"La fistule obst\u00e9tricale: Rapport d\u2019\u00e9valuation des besoins: Le\u00e7ons tir\u00e9es de neuf pays africains.www.unfpa.org\/swp\/2003\/english\/ch5\/."},{"key":"e_1_2_7_3_2","volume-title":"Femmes du sud, scandale des fistules","author":"Toubon R.","year":"2004"},{"key":"e_1_2_7_4_2","unstructured":"Rochat CH. Obstetric Vaginal Fistula chirurgical Approach. Geneva Switzerland: Geneva Foundation for Medical Education and Research.www.gfmer.ch\/Medical_education_En\/PGC_RH_2004\/Pdf\/Fistula.pdf."},{"key":"e_1_2_7_5_2","unstructured":"Ouattara. K. Probl\u00e9matique de la FVV obst\u00e9tricale service d'urologie H\u00f4pital du point G Bamako Mali.www.gfmer.ch\/Activites_internationales_Fr\/INSRP\u2010Publications.htm."},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1983.tb08933.x"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.02.007"},{"issue":"11","key":"e_1_2_7_8_2","first-page":"285","article-title":"A study of urinary fistulas in Sokoto, Nigeria","volume":"90","author":"Ghatak D.P.","year":"1992","journal-title":"J Indian Med Assoc"},{"issue":"1","key":"e_1_2_7_9_2","first-page":"9","article-title":"Socio\u2010demographic profile and obstetric experience of fistula patients managed at Addis Ababa Fistula Hospital","volume":"42","author":"Muleta M.","year":"2004","journal-title":"Ethiop Med J"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4401(02)00126-2"},{"key":"e_1_2_7_11_2","volume-title":"Mabeya Characteristics of women admitted with obstetric fistula in the rural hospitals in West Pokot, Kenya. 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