The immediate surgical management of fresh obstetric fistulas with catheter and/or early closure

Waaldijk, Kees

doi:10.1016/0020-7292(94)90759-5

Cited by 82 publications

(59 citation statements)

References 3 publications

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“…Although there are no accurate data on the incidence and prevalence of the condition, it is thought that globally there are at least two million women still waiting treatment, most of whom live in Africa. 1 It has often been stated that obstetric fistula patients suffer 'more than a hole in the bladder'. Women are often divorced because of their condition, ostracised by their communities, suffer depression and their reproductive capabilities are damaged.…”

Section: Introductionmentioning

confidence: 99%

Pregnancy following obstetric fistula repair, the management of delivery

Browning¹

2009

BJOG

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Obstetric fistula patients invariably have dreadful obstetric histories. The antecedent delivery usually ends in a stillbirth and even multiparous obstetric fistula patients often have previous histories of multiple stillbirths and neonatal deaths. There is very little published on subsequent pregnancies following obstetric fistula repair or even on reproductive capabilities after repair. This study examines 49 pregnancies following obstetric fistula repair and the management and outcome of delivery.Keywords Caesarean section, delivery, incontinence, obstetric fistula, pregnancy.Please cite this paper as: Browning A. Pregnancy following obstetric fistula repair, the management of delivery.

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Section: Introductionmentioning

confidence: 99%

Pregnancy following obstetric fistula repair, the management of delivery

Browning¹

2009

BJOG

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“…A total of 558 cases of genitourinary fistula were evaluated in this retrospective study with a mean follow-up period of 8.4 months (3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14). The details of VVF are shown in table 2 .…”

Section: Resultsmentioning

confidence: 99%

“…The true incidence of this condition is unknown as many women with fistulae never came to medical attention. An incidence of 1-2 per 1,000 deliveries has been estimated worldwide with an annual incidence of up to 50,000-100,000 [4] .…”

Section: Introductionmentioning

confidence: 99%

Our Experience with Genitourinary Fistulae

et al. 2009

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Introduction: Our objective was to analyze the incidence, etiopathology, diagnosis and therapeutic aspects of the genitourinary fistula in an Indian population. Methods: This is a retrospective analysis of the genitourinary fistulae repaired at the Department of Urology, Institute of Medical Sciences, Banaras Hindu University, between January 1990 and December 2006. The surgical approach varied in each patient. Interposition grafts or flaps were used as and when required. The main outcomes analyzed were the incidence, etiology, surgical approaches, accessory procedure required, need for tissue interposition, cure rate per repair and overall success rate. Results: Out of 558 cases, 403 were vesicovaginal, 84 ureterovaginal, 43 urethrovaginal and 28 vesicouterine fistulae. The most common etiology was obstructed labor (72.2%), followed by hysterectomy. The transvaginal route was preferred for repair wherever possible. The transabdominal route was adopted for the repair of supratrigonal vesicovaginal, ureterovaginal and vesicouterine fistulae and if bladder augmentation was required. Conservative management was successful in 1.9% of the vesicovaginal fistulae and in 8 cases of ureterovaginal fistula. The remaining cases were managed surgically with excellent results. Conclusion: Genitourinary fistulae are not life-threatening but are socially debilitating. Surgical repair provides the definitive cure, but expectant treatment can be tried in selective patients.

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“…Gynecologic procedures are the most common iatrogenic factor (75%), followed by radiotherapy in 10% of cases. Other types of procedures (urologic, gastrointestinal) also contribute to the incidence of VVF [10][11][12].…”

Section: Etiologymentioning

confidence: 99%