Still and still poorly understood, misdiagnosed, underreported or simply ignored, urogenital schistosomiasis remains widespread in sub-Saharan Africa, the DRC and the province of Nord-Ubangi. Its early recognition, even if asymptomatic, is essential because of the multiple complications it causes; the high risk of HIV transmission and, if left untreated, the risk of infertility and the development of bladder cancer and many more. The geo-climatological data from the northwest of the Bosobolo health zone in the Province of Health Division (DPS) of Nord-Ubangi, more specifically, the health areas of Bomanza, Bubanda and Bokada-Pombo are characteristic for the development. of this disease. The treatment is based on Praziquantel, 40 mg / kg as a single dose to be repeated after one month. The only means of the most effective control these days remain the prophylaxis (mass and individual) which passes by the knowledge of the disease and its signs as well as the appropriate means of which the prevention, without which, the fight against the schistosomiasis uro -Genital risks being a losing battle in advance.