OBJECTIVE: The purpose of this study was to show the outcomes of primary surgical repair of obstetric vesicovaginal fistula repairs in Niger, Africa. STUDY DESIGN: 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. RESULTS: 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. CONCLUSION: The initial repair of vesicovaginal fistulas has the highest probability of success. The successful closure is dependent on size, site, and associated scarring.
OBJECTIVE: The purpose of this study was to show the outcomes of primary surgical repair of obstetric vesicovaginal fistula repairs in Niger, Africa. STUDY DESIGN: 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. RESULTS: 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. CONCLUSION: The initial repair of vesicovaginal fistulas has the highest probability of success. The successful closure is dependent on size, site, and associated scarring.
Authors: A Bishinga; R Zachariah; S Hinderaker; K Tayler-Smith; M Khogali; J van Griensven; W van den Boogaard; M Tamura; B Christiaens; G Sinabajije Journal: Public Health Action Date: 2013-06-21
Authors: A M Sih; D M Kopp; J H Tang; N E Rosenberg; E Chipungu; M Harfouche; M Moyo; M Mwale; J P Wilkinson Journal: BJOG Date: 2016-02-08 Impact factor: 6.531
Authors: Oxana Munoz; C Bryce Bowling; Kimberly A Gerten; Rebecca Taryor; Andy M Norman; Jeff M Szychowski; Holly E Richter Journal: Br J Med Surg Urol Date: 2011-11
Authors: Karen D Cowgill; Jennifer Bishop; Amanda K Norgaard; Craig E Rubens; Michael G Gravett Journal: BMC Pregnancy Childbirth Date: 2015-08-26 Impact factor: 3.007