Repair of obstetric vesicovaginal fistulas in Africa
NLM Title Abbreviation
Am J Obstet Gynecol
American Journal of Obstetrics and Gynecology
DOI of Published Version
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.
Africa, Cicatrix/etiology, Delivery, Obstetric/adverse effects, Female, Humans, Obstetric Labor Complications, Pregnancy, Reoperation, Treatment Outcome, Urinary Incontinence/etiology, Vesicovaginal Fistula/complications/etiology/surgery
Published Article/Book Citation
American Journal of Obstetrics and Gynecology, 195:6 (2006) pp.1748-1752.