Vesico‐vaginal Fistulae as Seen in Britain*

Moir, J. Chassar

doi:10.1111/j.1471-0528.1973.tb16032.x

Cited by 39 publications

(14 citation statements)

References 4 publications

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“…2 In the developed world, urogenital fistulae are relatively uncommon, and publically available Hospital Episode Statistics (HES) for England suggest that approximately 105 cases have been repaired surgically each year over the last decade. 3 Chassar Moir 4 reviewed the position of vesicovaginal fistula in Britain in 1973, and Lee et al 5 did the same in the USA in 1988. The largest recent UK case series are those reflecting tertiary-care practices, published by Ockrim ª 2012 The Authors BJOG An International Journal of Obstetrics and Gynaecology ª 2012 RCOG et al 6 in 2009 (41 cases), and Hilton 7 in 2011 (348 cases).…”

Section: Introductionmentioning

confidence: 99%

The risk of vesicovaginal and urethrovaginal fistula after hysterectomy performed in the English National Health Service—a retrospective cohort study examining patterns of care between 2000 and 2008

Hilton

Cromwell

2012

BJOG

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Objective To estimate rates of vesicovaginal and urethrovaginal fistula among women undergoing hysterectomy by indication and type of procedure, and to assess trends in risk over time.Design Retrospective cohort using data from Hospital Episode Statistics.Setting English National Health Service (NHS) hospitals.Population Women undergoing hysterectomy for selected common conditions in English NHS hospitals between January 2000 and December 2008.Methods Unadjusted rates of urogenital fistula were calculated by type of procedure and indication. Logistic regression was used to assess whether the risk of fistula was associated with age, or had changed over time.Main outcome measure Rate of urogenital fistula (vesicovaginal and urethrovaginal fistula) within 1 year of hysterectomy.Results Among 343 771 women undergoing hysterectomy, the overall rate of fistula was 1 in 788. The rate varied by indication and procedure, being highest following radical hysterectomy for cervical cancer (1 in 87; 95% CI 61-128) and lowest following vaginal hysterectomy for prolapse (1 in 3861; 95% CI 2550-6161). After total abdominal hysterectomy for endometriosis, menstrual problems or fibroids, the risk of fistula was lower in women aged 50 years or over than in women under 40 years (adjusted odds ratio 0.61; 95% CI 0.38-0.98). The overall rate of fistula increased by 46% during the study period.Conclusions The risk of urogenital fistula was associated with type of hysterectomy and indication; the risk increased during the study period, and was lower after hysterectomy for benign conditions in women aged 50 years or over.

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Section: Introductionmentioning

confidence: 99%

The risk of vesicovaginal and urethrovaginal fistula after hysterectomy performed in the English National Health Service—a retrospective cohort study examining patterns of care between 2000 and 2008

Hilton

Cromwell

2012

BJOG

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“…By contrast genital fistulae in developed countries are rare and happens as a complication of gynaecological surgery or radiotherapy 1 . Epidemological studies have shown that in developing countries, 90% of the fistula are of obstetric origin,whereas in developed countries, gynecologic surgery and radiotherapy are responsible in 70% of genital fistulae 2,3 .…”

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confidence: 99%

Characteristics and Surgical Success of Patients Presenting for Repair of Genitourinary Fistula in VVF Center of a Tertiary Hospital

Ara

Amin²,

Hoque

et al. 2017

Bangladesh J Obstet Gynaecol

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Introduction:Genitourinary fistula is preventable and in most cases treatable as well. Childbirth injury that leaves women incontinent, ashamed and often isolated from their families and communities. It occurs when a woman suffers from prolonged, obstructed labour without timely access to caesarean section. A debilatiting condition that has left and continues to leavehundreads of thousands of women suffering in speculation and humiliation. It is the most distressing and demoralizing condition that a woman can experience. These unhappy women often become social outcasts. The close anatomical relationship of bladder, rectum, vagina and uterus make the reproductive tract susceptible to fistula formation during complicated childbirth and gynecological surgery. Characteristics and Surgical Success of Patients Presenting for Repair of Genitourinary Fistula in VVFCenter of a Tertiary Hospital

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“…Vesico-vaginal fistulae are often the result of a traumatic delivery or a complicated hysterectomy but may also be caused by malignant tumors of the cervix/vagina or the bladder or as a sequela after radiation therapy (6). Fistulae involving the cervix are rare and usually caused by carcinoma of the cervix or a surgical injury after subtotal hysterectomy (9).…”

mentioning

confidence: 99%

“…Although trauma is the most frequent cause of various genital fistulae, a gynecologic tumor (especially carcinoma of the cervix) or its radiation sequelae must always be considered in the presence of a vaginal fistula (6,9). They occur rarely (approximately I %) in patients with cervical carcinoma but more often when hysterectomy is combined with radiation therapy (10).…”

mentioning

confidence: 99%

CT Demonstration of Fistulae in Patients with Gynecologic Neoplasms

Thorvinger¹,

Horväth²,

Samuelsson³

1990

Acta Radiol

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Ten women treated for gynecologic neoplasms (8 cervical carcinomas, one vaginal and one endometrial carcinoma) were found at computed tomography (CT) to have a fistula although only 5 patients had symptoms that could be related to a fistula. Five women had vesico-vaginal fistulae, 2 recto-vaginal, 2 entero-cervical and one a vulvo-pubical fistula. Three patients had recurrent malignancy at the CT examination. We regard CT as the ragiologic method of choice in diagnosing gynecologic fistulae.

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Vesico‐vaginal Fistulae as Seen in Britain*

Cited by 39 publications

References 4 publications

The risk of vesicovaginal and urethrovaginal fistula after hysterectomy performed in the English National Health Service—a retrospective cohort study examining patterns of care between 2000 and 2008

The risk of vesicovaginal and urethrovaginal fistula after hysterectomy performed in the English National Health Service—a retrospective cohort study examining patterns of care between 2000 and 2008

Characteristics and Surgical Success of Patients Presenting for Repair of Genitourinary Fistula in VVF Center of a Tertiary Hospital

CT Demonstration of Fistulae in Patients with Gynecologic Neoplasms

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