TY - JOUR
T1 - Obstetric fistula
T2 - The ECWA Evangel VVF Center surgical experience from Jos, Nigeria
AU - Kirschner, Carolyn V.
AU - Yost, Kathleen J.
AU - Du, Hongyan
AU - Karshima, Jonathan A.
AU - Arrowsmith, Steven D.
AU - Wall, L. Lewis
PY - 2010/12
Y1 - 2010/12
N2 - 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.
AB - 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.
KW - Fistula surgery
KW - Obstetric fistula
KW - Obstructed labor
KW - Rectovaginal fistula
KW - Vesicovaginal fistula
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U2 - 10.1007/s00192-010-1231-0
DO - 10.1007/s00192-010-1231-0
M3 - Article
C2 - 20700729
AN - SCOPUS:78650015001
SN - 0937-3462
VL - 21
SP - 1525
EP - 1533
JO - International Urogynecology Journal
JF - International Urogynecology Journal
IS - 12
ER -