Obstetric fistula: The ECWA Evangel VVF Center surgical experience from Jos, Nigeria

Carolyn V. Kirschner, Kathleen J. Yost, Hongyan Du, Jonathan A. Karshima, Steven D. Arrowsmith, L. Lewis Wall

Research output: Contribution to journalArticle

25 Scopus citations

Abstract

Introduction and hypothesis: The objectives of this study are to analyze the surgical outcomes of women undergoing obstetric fistula repair operations at the ECWA Evangel VVF Center, Jos, Nigeria, and to identify factors associated with postoperative urinary continence. Methods: Sociodemographic and clinical data were abstracted retrospectively from the Center's database for patients who underwent vesicovaginal fistula (VVF) repair operations. These data were compared with clinical outcome ("wet" or "dry") at the time of hospital discharge. Results: From August 1998 to April 2004, 1,084 fistula repair operations were performed on 926 patients. A vaginal approach was used in 90.1% of cases, and postsurgical continence was achieved in 70.5% of patients. Continence was more likely in patients with an intact urethra, an upper or midvaginal fistula, and less fibrosis than in those patients who remained wet. Conclusions: Two thirds of patients with obstetric fistulas can be cured, with complete restoration of continence and low surgical morbidity, using a transvaginal surgical approach.

Original languageEnglish (US)
Pages (from-to)1525-1533
Number of pages9
JournalInternational Urogynecology Journal
Volume21
Issue number12
DOIs
StatePublished - Dec 2010

Keywords

  • Fistula surgery
  • Obstetric fistula
  • Obstructed labor
  • Rectovaginal fistula
  • Vesicovaginal fistula

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Urology

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