Introduction: Our objective was to analyse the epidemioclinical, etiological, and therapeutic aspects of genitourinary fistula.

Materials and Method: Descriptive and retrospective study conducted in Sikasso Hospital’s service of urology between February 1, 2024 and February 28, 2026.

Results: Totally 21 obstetric fistula patients, representing a prevalence of 3.50%. Average age of our patients was 30.04 ± 8.13 (13-57 years). They are not engage in any income-generating activities; 90.00% still live with their spouses, while 10.00% are either divorced or abandoned the marital home. The vast majority (98%) are illiterate, coming from rural communes of Sikasso (71.42%) as well as neighbouring countries, Ivory Coast (19.04%) and Burkina Faso (9.52%), respectively. Different types of fistulas were found: 4 cases of iatrogenic fistulas and 17 cases of obstetric fistulas, out of those obstetric fistula 6 cases belong to type III according CHU-Point G classification and. 85.70% of new born were found dead. The majority of our patients were 1st hand fistulas and their postoperative outcomes was successful in the majority (85.70%) of patients.

Conclusion: Obstetric fistula remains a real public health care problem. Our political and public health authorities must continue efforts in providing emergency obstetric care; improving the capacity of personnel in managing high-risk pregnancies; promote and support day by day surgical management.