Journal article
Repair of obstetric vesicovaginal fistulas in Africa
American journal of obstetrics and gynecology, Vol.195(6), pp.1748-1752
12/2006
DOI: 10.1016/j.ajog.2006.07.031
PMID: 17132477
Abstract
The purpose of this study was to show the outcomes of primary surgical repair of obstetric vesicovaginal fistula repairs in Niger, Africa.
From October 2003 to April 2005, 90 patients were examined with vesicovaginal fistulas and no previous repair. Fistulas were variable in location and degree of scarring and ranged up to 7 cm in size. All patients were offered surgical repair. Primary repair was performed in 73 women.
Successful primary closure was achieved in 41 patients (56%); 19 patients were lost to follow up, and 13 patients had a persistent fistula. Incontinence, despite fistula closure, was present in 9 patients. Common features of failure and/or incontinence included larger size, involvement of the urethrovesical junction, and scarring.
The initial repair of vesicovaginal fistulas has the highest probability of success. The successful closure is dependent on size, site, and associated scarring.
Details
- Title: Subtitle
- Repair of obstetric vesicovaginal fistulas in Africa
- Creators
- Marcella L Roenneburg - Department of Gynecology and Obstetrics, Mercy Medical Center, Baltimore, MD 21202, USA. mroenneburg@mdmercy.comRene Genadry - University of Iowa, Obstetrics and GynecologyClifford R Wheeless Jr
- Resource Type
- Journal article
- Publication Details
- American journal of obstetrics and gynecology, Vol.195(6), pp.1748-1752
- DOI
- 10.1016/j.ajog.2006.07.031
- PMID
- 17132477
- NLM abbreviation
- Am J Obstet Gynecol
- ISSN
- 0002-9378
- eISSN
- 1097-6868
- Language
- English
- Date published
- 12/2006
- Academic Unit
- Obstetrics and Gynecology
- Record Identifier
- 9983557452202771
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