Reduction in the incidence of stress incontinence complicating fistula repair

Hassim, Abu M.; Lucas, Cynthia

doi:10.1002/bjs.1800610612

Cited by 23 publications

(6 citation statements)

References 6 publications

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“…Urinary incontinence, following successful fistula closure, continues to be a major problem. Incidences vary from 9% to 31% (6,8,9). In this series, 7.5% of women suffered from urinary incontinence.…”

Section: Discussionmentioning

confidence: 62%

Genital Tract Fistula Repair on 116 Women

Goh

1998

Aust NZ J Obst Gynaeco

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Section: Discussionmentioning

confidence: 62%

Genital Tract Fistula Repair on 116 Women

Goh

1998

Aust NZ J Obst Gynaeco

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“…Although bladder defects have been successfully closed, many women have defective, injured urethras that are often shortened, fibrotic, functionless drainpipes densely bound in scar tissue. As many as 30% of women with fistula have some degree of stress incontinence following repair [20,21]. The development of successful techniques for dealing with persistent transurethral continence after successful fistula closure is a major challenge.…”

Section: Obstructed Labour Injury Complexmentioning

confidence: 99%

Vesicovaginal fistula: obstetric causes

Ramphal¹,

Moodley²

2006

Current Opinion in Obstetrics &Amp; Gynecology

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Prevention should involve alleviation of poverty and improvement in education, maternity services and health. Research on issues such as persistent stress incontinence following fistula closure, management of reduced bladder capacity, best technique for fistula repair, role of vaginoplasty, role of early repair in selective obstetric fistula, future reproductive function, dermatological management, and social and cultural issues must be done to improve women's health.

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“…So after successful correction of bladder defect, many women have short, fibrosed functionless urethra. About 30% women with fistula have some degree of stress incontinence following repair 14 . There are 10 cases of vesical calculus which needed cystolithotomy prior to fistula repair.…”

Section: Resultmentioning

confidence: 99%

Genitourinary Fistula Experience in a Peripheral Hospital of Bangladesh

Begum¹

2012

J. Bangladesh Coll. Phys.

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Genitourinary fistula is one of the most dreadful complications encountered in obstetrics and gynaecology and constitute a major surgical challenge for the urogynecologist. With advanced obstetric care, this fistula is rare in industrialized world but it is still a major health problem in underdeveloped countries, particularly in sub- Saharan Africa and Asia including Bangladesh. Victim of fistula become physically cripple, socially outcast, psychologically traumatized. Surgical repair is the definitive cure. A surgeon with adequate training and experience can optimize outcome of surgery by modifying techniques. Repair of vesicovaginal fistula remains a major challenge to surgeon worldwide. Aim of the study was to undertake a baseline evaluation of all genitourinary fistula cases and to share the experience of management of fistula with others. This descriptive study was conducted in the department of Obstetrics and Gynaecology, Sylhet M.A.G. Osmani MedicalCollege Hospital. A total 311 genitourinary fistula cases were admitted and managed here from July 2004 to March 2010. In this study 64.63% of the patients were between 20-35yrs of age (range 18-70yrs), 42.76% were primipara whereas 20.57% were grandmulti. Height was <145cm in 67.84% cases. Majority (80.38%) of the patients were from poor socioeconomic status; 91.63% was housewife, and 89.38% was illiterate. Obstructed labour was responsible for 86.81% of fistula. Vesico-vaginal fistula was the most common (87.46%) type of fistula and 79.43% of fistula was complex in nature. 92.10% had local repair through vaginal approach, labial fat graft was used in 44% cases. In this study out of 242 operation 85.54 %(n-207) had successful repair. Among them 75.61% patient were completely continent. Causes of failure were likely to be due to extensive scarring with loss of tissue, previous failed repair, large size of fistula and in some cases post-operative catheter problem and infection. Fistula is largely a preventable condition. More emphasis should be given on prevention of fistula by increasing community awareness, female education and empowerment, avoiding early marriage, family planning, improved maternity services, timely referral and availability of emergency obstetric care services. DOI: http://dx.doi.org/10.3329/jbcps.v29i4.11328 J Bangladesh Coll Phys Surg 2011; 29: 207-212

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Reduction in the incidence of stress incontinence complicating fistula repair

Abstract: SUMMARYThe results of treatment oj' 1 I gynaecological fistulae and 150 obstetrical fistulae over a period of 6t years is presented. Postoperative stress incontinence was the most serious complication. Its incidence following

Cited by 23 publications

References 6 publications

Genital Tract Fistula Repair on 116 Women

Genital Tract Fistula Repair on 116 Women

Vesicovaginal fistula: obstetric causes

Genitourinary Fistula Experience in a Peripheral Hospital of Bangladesh

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Reduction in the incidence of stress incontinence complicating fistula repair

Abstract: SUMMARYThe results of treatment oj' 1 I gynaecological fistulae and 150 obstetrical fistulae over a period of 6t years is presented. Postoperative stress incontinence was the most serious complication. Its incidence following

Cited by 23 publications

References 6 publications

Genital Tract Fistula Repair on 116 Women

Genital Tract Fistula Repair on 116 Women

Vesicovaginal fistula: obstetric causes

Genitourinary Fistula Experience in a Peripheral Hospital of Bangladesh

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Genitourinary Fistula Experience in a Peripheral Hospital of Bangladesh