Introduction: The objective of this study was to analyse the epidemiological, clinical and etiological aspects of urogenital fistula in our department.

Materials and Method: Retrospective descriptive study was carried out in our urology department between 1 June 2020 and 30 June 2022.

Result: Totally 71 cases of urogenital fistula have been collected. The mean age was 33.41± 11.09 (15 - 66 years). The main (98.6%) clinical symptom was continuous urine leakage, which appeared within 2-7days after normal or caesarean child delivery. Fistula due to obstructed labour is the predominant aetiological, accounting for 85.91%. The majority of patients were victims of this accident during their 1st childbirth. They were generally homemakers, illiterate and coming from remote area Mean childbirth labour duration: 42, 33 ± 21, 49(12-120 hours).This accident was associated to 92, 53% of stillbirth rate and lead to 7, 04% of divorce.

Conclusion: Struggles against this pathology passes necessarily through promoting girls socio-economic condition and education, raising awareness against harmful religious and traditional practices.