Epidemiologic study of vesicovaginal fistulas in ethiopia

Kelly, John; Kwast, Barbara E.

doi:10.1007/bf00372737

Cited by 62 publications

(66 citation statements)

References 4 publications

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“…The success rate of 88% with these complex cases measured favourably with the success rates of 88%, 87.9% and 81.3% obtained in studies done in Ethiopia, Malawi and Benin city (Nigeria), respectively, for unselected cases. [13][14][15] Even lower success rates of 73% was obtained in Niger republic and 75% in Maiduguri, Nigeria. 16 The reasons for this disparity in success rates from different centres have not been adduced, however, it is probable that the cure rates obtained in different studies are a reflection of available surgical skill and experience at those centres.…”

Section: Discussionmentioning

confidence: 99%

Obstetric fistula repair: a guide to patient selection

Umoiyoho

Inyang-Etoh

2011

UIJ

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Objective. The World Health Organization has advocated the classification of obstetric fistula into simple and complex cases. This study set out to design a guide to patient selection to facilitate the attainment of this goal.Materials and Methods. Associated risk factors were identified and analyzed among a cross section of women who had complex obstetric vesicovaginal fistulas.Results. The risk factors that were identified to affect significantly the prospect of cure following repair were large size of the fistula greater than 4 cm, associated urethral loss and adherence of the fistula to the pubic bone. Others were three or more previous attempts at repair, moderate to severe degree of scarring at the fistula margin, combined vesicovaginal and rectovaginal fistulas and the proximity of the fistula margin to the ureter. Each identified risk factor was allocated a score ranging from 0 to 4 depending on the adjudged capacity of the factor to affect the prospect of cure following repair.Conclusions. Any case of vesicovaginal fistula with a total score of 4 or less using the proposed prognostic scoring system was adjudged suitable for repair by gynaecological or general surgeons, who have been trained on fistula repair with a significant prospect of success.

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Section: Discussionmentioning

confidence: 99%

Obstetric fistula repair: a guide to patient selection

Umoiyoho

Inyang-Etoh

2011

UIJ

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“…In a large case series from the famous fistula hospital in Addis Abada, 97% of vesico-vaginal fistulas occurred after obstructed labour; 65% of women were aged less than 25; and 63% had been primigravid 12 . Vesico-vaginal fistulas mainly result from the ischaemic necrosis of vaginal and bladder tissues, trapped between the fetal head and the mother's pubic symphysis during prolonged, obstructed labour.…”

Section: Consequencesmentioning

confidence: 99%

Obstructed labour

Neilson¹,

Lavender²,

Quenby³

et al. 2003

British Medical Bulletin

188

102

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“…The prevalence is variably reported to affect between 8 and 33% of women after repair of their fistula. 1,2 A recent survey of 2000 patient notes in the Addis Ababa Fistula Hospital showed 26% of women suffering residual incontinence in the immediate postoperative period (E. Boyd and A. Browning, unpubl).…”

Section: Introductionmentioning

confidence: 99%

A new technique for the surgical management of urinary incontinence after obstetric fistula repair

Browning

2006

BJOG

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Obstetric vesicovaginal fistula is a debilitating injury still occurring widely throughout the developing world. Fortunately, now more and more surgeons are becoming aware of this previously hidden problem, and many thousands of women are receiving treatment each year. What is difficult for the fistula surgeon are those women, who after having their vesicovaginal fistula successfully closed, return to their doctor, still just as incontinent as they were with the fistula still open. This study describes a new, simple and cheap surgical procedure that promises to improve the lot of these unfortunate women.Keywords Fistula, incontinence, obstetric, surgery, urine.Please cite this paper as: Browning A. A new technique for the surgical management of urinary incontinence after obstetric fistula repair. BJOG 2006; 113:475-478.

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Epidemiologic study of vesicovaginal fistulas in ethiopia

Cited by 62 publications

References 4 publications

Obstetric fistula repair: a guide to patient selection

Obstetric fistula repair: a guide to patient selection

Obstructed labour

A new technique for the surgical management of urinary incontinence after obstetric fistula repair

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