One‐year follow‐up of women who participated in a physiotherapy and health education program before and after obstetric fistula surgery

Castille, Yves-Jacques; Avocetien, Chiara; Zaongo, Dieudonné; Colas, J M; Peabody, James O.; Rochat, Charles-Henry

doi:10.1016/j.ijgo.2014.09.028

Cited by 22 publications

(18 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, our findings are nearly identical to the 20% residual incontinence prevalence reported in a multi‐country prospective study evaluating women 3 months after repair . Other studies have shown improvements in urinary incontinence from discharge to 6–12 months after surgery . It is possible that women continue to regain continence after this time period, even among women with small residual fistulas.…”

Section: Discussionsupporting

confidence: 87%

“…In other settings, quality of life has been shown to be lower in women with residual incontinence from a persistent VVF . One study found no difference in the quality of life of women with persistent fistula before and after repair but did find a difference between those with successful and unsuccessful fistula closure, regardless of urinary incontinence symptoms . Qualitative studies further characterise the ongoing distress and social limitations in women with residual incontinence .…”

Section: Discussionmentioning

confidence: 99%

“…24 Other studies have shown improvements in urinary incontinence from discharge to 6-12 months after surgery. 9,25 It is possible that women continue to regain continence after this time period, even among women with small residual fistulas. However, such improvement is likely to plateau eventually.…”

Section: Strengthsmentioning

confidence: 99%

See 2 more Smart Citations

Continence, quality of life and depression following surgical repair of obstetric vesicovaginal fistula: a cohort study

Kopp

Tang

Bengtson

et al. 2018

BJOG

View full text Add to dashboard Cite

Objective We evaluated residual incontinence, depression, and quality of life among Malawian women who had undergone vesicovaginal fistula (VVF) repair 12 or more months previously. Design Prospective cohort study. Setting Fistula Care Centre in Lilongwe, Malawi. Population Women who had undergone VVF repair in Lilongwe, Malawi at least 12 months prior to enrolment. Methods Self‐report of urinary leakage was used to evaluate for residual urinary incontinence; depression was evaluated with the Patient Health Questionnaire‐9; quality of life was evaluated with the King's Health Questionnaire. Main outcome measures Prevalence and predictors of residual incontinence, quality of life scores, and prevalence of depression and suicidal ideation. Results Fifty‐six women (19.3%) reported residual urinary incontinence. In multivariable analyses, predictors of residual urinary incontinence included: pre‐operative Goh type 3 [adjusted risk ratio (aRR) 2.82; 95% confidence interval (CI) 1.61–5.27) or Goh type 4 1.08–2.78), positive postoperative cough stress test (aRR = 2.42; 95% CI 1.24–4.71) and the positive 1‐hour postoperative pad test (aRR = 2.20; 95% CI 1.08–4.48). Women with Goh types 3 and 4 VVF reported lower quality of life scores. Depressive symptoms were reported in 3.5% of women; all reported residual urinary incontinence. Conclusions While the majority of women reported improved outcomes in the years following surgical VVF repair, those with residual urinary incontinence had a poorer quality of life. Services are needed to identify and treat this at‐risk group. Tweetable abstract Nearly one in five women reported residual urinary incontinence at follow up, 12 or months after vesicovaginal fistula repair.

show abstract

Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Continence, quality of life and depression following surgical repair of obstetric vesicovaginal fistula: a cohort study

Kopp

Tang

Bengtson

et al. 2018

BJOG

View full text Add to dashboard Cite

show abstract

“…Two studies tested a combined health education and physiotherapy program . In Benin, Castille et al .…”

Section: Resultsmentioning

confidence: 99%

“…Two studies tested a combined health education and physiotherapy program . In Benin, Castille et al . employed physiotherapist‐led didactic sessions to assist women in activity modification including perineal contractions, abdominal hypopressive exercise, and behavioral instruction.…”

Section: Resultsmentioning

confidence: 99%

Rehabilitation and reintegration programming adjunct to female genital fistula surgery: A systematic scoping review

Ayadi

Délamou

Barr‐Walker

et al. 2020

Intl J Gynecology & Obste

View full text Add to dashboard Cite

Background: Female genital fistula is associated with significant physical, psychological, and economic consequences; however, a knowledge and practice gap exists around services adjunct to fistula surgery. Objectives:To examine rehabilitation and reintegration services provided adjunct to genital fistula surgery, map existing programming and outcomes, and identify areas for additional research. . Two reviewers screened articles and extracted data using standardized methods. Selection criteria: Research and programmatic articles describing service provision in addition to female genital fistula surgery were included. Data collection and analysis: Of 3047 published articles and 2623 unpublished documents identified, 26 and 55, respectively, were analyzed.Main results: Programming identified included combinations of health education, physical therapy, social support, psychosocial counseling, and economic empowerment, largely in sub-Saharan Africa. Improvements were noted in physical and psychosocial health. Conclusions:Existing literature supports holistic fistula care through adjunct reintegration programming. Improving the evidence base requires implementing robust study designs, increasing reporting detail, and standardizing outcomes across studies.Increased financing for holistic fistula care is critical for developing and supporting programming to ensure positive outcomes. K E Y W O R D S

show abstract

Prognostic factors and long‐term outcomes of obstetric fistula care using the Tanguiéta model

Benski

Delavy

Rochat

et al. 2020

Intl J Gynecology & Obste

View full text Add to dashboard Cite

Objectives:To identify factors influencing the long-term prognosis after surgical repair of obstetric fistula, establish a prognosis-based classification system, and examine changes in quality of life after surgery. Methods:A retrospective study of 308 women who underwent obstetric fistula repair at Saint Jean de Dieu Hospital, Tanguiéta, Benin, between 2008 and 2016, and were supported by a multidisciplinary management model. All participants were from rural areas of Burkina Faso. The women completed interviews before, immediately after, and 2, 4-6, and 12 months after surgery to assess their clinical state and socioeconomic and psychologic status. Results: Overall, the fistulae of 230/274 (83.9%) women were considered to be repaired after 12 months. Factors associated with poor repair outcome included the presence of sclerotic tissue (odds ratio [OR], 0.25; 95% confidence interval [CI], 0.11-0.53) and intraoperative complications (OR, 0.16; 95% CI, 0.07-0.39). Women with successful surgery had a better quality of life as compared with women with an unrepaired fistula (Ditrovie score, 1.1 vs 3.9; P<0.001).Conclusion: The multidisciplinary Tanguiéta model for management of obstetric fistula allowed successful fistula closure, thereby facilitating the women's long-term social reintegration, and improved quality of life. K E Y W O R D SBenin; Long-term obstetric fistula repair outcome; Obstetric fistula; Prognostic factors; Quality of life after obstetric fistula repair; Social reintegration; Tanguiéta model

show abstract

One‐year follow‐up of women who participated in a physiotherapy and health education program before and after obstetric fistula surgery

Abstract: Results obtained after surgery and physiotherapy were maintained at 1 year, and QoL had improved significantly. When women are encouraged to continue exercises, improvements are also seen in residual stress incontinence.

Cited by 22 publications

References 10 publications

Continence, quality of life and depression following surgical repair of obstetric vesicovaginal fistula: a cohort study

Continence, quality of life and depression following surgical repair of obstetric vesicovaginal fistula: a cohort study

Rehabilitation and reintegration programming adjunct to female genital fistula surgery: A systematic scoping review

Prognostic factors and long‐term outcomes of obstetric fistula care using the Tanguiéta model

Contact Info

Product

Resources

About