Nonbstetric vulvo-vaginal injuries in Souro Sanon University teaching hospital of Bobo-Dioulasso, Burkina Faso

Abstract

To describe the nonobstetric vulvo-vaginal injuries received in an University Teaching Hospital. That was a retrospective and descriptive study, carried out from January, the 1^st 2004 to December, the 31tb 2007. It took place at the Gynaecology emergency service of Souro Sanou University Teaching Hospital of Bobo-Dioulasso, Burkina Faso.  We included patients complaining of nonobstric vulvo-vaginal traumatic injuries and who were treated in our service during the study period. A total of 67 cases have been listed. Data were extracted from medical files and analysed with software Epi Info 6.0 Nonobstetrics vulvo-vaginal injuries represented 7.28 % of admissions registered in the gynaecological emergency's service. Patients were joungs (22 years old with extreme ages equal 2 and 49 years), house­ wives (83.5 %), city dwellers (59.7 %) and 61.5 % of women aged from 15 to 49 years old got married. Genital injuries were due to coïtus (58.2 %) with 10.4 % of non consensual coïtus, impalements (13.4 %), animals’ horns (9 %), and road accidents (7.5 %). Caustic tablets used for clandestine abortions and accidents at home were also incriminated (6 %). We recorded 86.5 % of vulvo-vaginal injuries, with 59.7 % of wounds located at the cul-de-sac of Douglas and 3 % of third degree tears of perinea. These wounds (95.52 %) were sutured under general anaesthesia. We transfused 4.5 % of patients.

Nonobstetrics vulvo-vaginal injuries are due to coïtus when the patient was an adult, and due to animals' horns and road accidents when she was a child or a teenager.