Health disclosure mediates stigma-psychological well-being link among Vesico-Vaginal fistula patients

Amazue, Lawrence O.; Eze, John E.; Essien, Nsidibe F.; Nnadozie, Ebele E.; Onu, Desmond Uchechukwu

doi:10.1080/13548506.2022.2041206

Cited by 3 publications

(1 citation statement)

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“…The latest study in 2023 found that there was a significant correlation between health stigma and psychological distress among VVF patients. The findings highlighted the importance of health disclosure in the management of the stigma's effects on VVF patients' health and well-being [38].…”

Section: Impactmentioning

confidence: 94%

Vesicovaginal Fistulas: Prevalence, Impact, and Management Challenges

Chinthakanan,

Sirisreetreerux,

Saraluck

2023

Medicina

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Background and Objectives: Vesicovaginal fistulas (VVFs) are an abnormal communication between the vagina and bladder and the most common type of acquired genital fistulas. This review will address the prevalence, impact, and management challenges of VVFs. Materials and Methods: Epidemiologic studies examining VVFs are considered. In addition, publications addressing the treatment of VVFs are reviewed. Results: VVFs in developing countries are often caused by obstructed labor, while most VVFs in developed countries have iatrogenic causes, such as hysterectomy, radiation therapy, and infection. The reported prevalence of VVFs is approximately 1 in 1000 post-hysterectomy patients and 1 in 1000 deliveries. VVFs affect every aspect of quality of life, including physical, mental, social, and sexual aspects. Prevention of VVFs is essential. Early diagnosis is necessary to reduce morbidity. Nutrition, infection control, and malignancy detection are important considerations during evaluation and treatment. Conservative and surgical treatment options are available; however, these approaches should be customized to the individual patient. The success rate of combined conservative and surgical treatments exceeds 90%. Conclusions: VVFs are considered debilitating and devastating. However, they are preventable and treatable; key factors include the avoidance of prolonged labor, careful performance of gynecologic surgery, and early detection.

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Section: Impactmentioning

confidence: 94%