Medical and Psychological Morbidity of Patients with Urogenital Fistula

Abstract

Aim: This study aimed to determine the frequency of medical and psychological morbidity of patients with urogenital fi stulae.
 Methods: It was a descriptive study carried out at Liaquat University Hospital and Isra University Hospital, Hyderabad, Pakistan from 01/06/2007 to 30/06/2018, where 520 patients with urogenital fi stulae were managed. A pre-designed proforma was used to record the details about medical and psycho-social consequences. Data was analyzed, and results were described as frequency and percentages.
 Results: Among 16759 gynecological admissions, 520 (3.1%) were confi rmed cases of urinary fi stulae. Average age of patients was 31±2.8 years and average parity was 3±2.4. Regarding health consequences, all patients had major degree depression. Majority (88%) of the patients were malnourished. Severe excoriation of vulva and inner thighs was seen in 338 (65%) patients. Vaginal stenosis, vaginal and vesical calculi were other medical problems. Almost all (n= 511, 98%) patients were found to be socially isolated. 62% patients kept themselves restricted to home, with avoidance of family gatherings and travelling. Marital breakdown seen in 81% (n=241). 90% of patients quit their job. Majority of them suff ered social, verbal or physical abuse.
 Conclusions: Patients with urogenital fi stulae not only havesurgical morbidity, they also do suff er from signifi cant medical and psychosocial morbidity. There is a defi nite need to address these under-looked miseriesby a devoted fi stulae team working in collaboration with social workers, religious leaders and healthcare providers.

The teenage pregnancy on obstetric fistula among women in fistula center at Malalai Hospital, Kabul Afghanistan: A cross-sectional study

“…Holme reported 49.0% of patients were primiparous, and 27.6% were parity four [15] . Srichand, P., Hassan, had earlier concluded in their study that means parity was 3±2.4 [16] . Lorencz, E reported 47.7 % women with obstetric fistula were primiparas and 52.3 % were multiparas [17] .…”