Management of vesico‐vaginal fistulas in women

Ahmad, Siddique; Nishtar, A.; Hafeez, Gulafshana; Khan, Zahid

doi:10.1016/j.ijgo.2004.08.021

Cited by 33 publications

(17 citation statements)

References 9 publications

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“…al [4]J OG2007Survey2001–2003VVc8075/80 (93.7)PakistanAhmad et. al [24]Int J G O2005Retrospect1978–2003VVc10861,086 (100%)NigeriaWaaldijk [5, 25]Am J O G2004Retrospect1992–2001VVc17161,716 (100%)NigeriaWall et al [26]Am J O G2004Retrospect1992–1999VVc932899/932 (95.5)MaliQi Li Ya et al [27]Med Afr N2000Retrospect1998–1999VVc3427/34 (79.4)NigeriaHilton and Ward [28]IUGJPFLD1998Retrospect1989–1995VVc2389(2,202/2,389) 92%NigerArrowsmith [29]J Urol1994Retrospect1990–1993VVc9893/98 (94.9)SenegalGueye et al [30]Med Afr N1992Retrospect1986–1992VVc123118/123 (95.9)Burki, Tchad; GabonFalandry [31]Press Med1992Retrospect1979–1990VVc230213/230 (93%)ZambiaHolme et al [7]Br J O G2007Retrospect2003–2005V/R259259 (100%)MalawiRijken and Chilopora [32]Int J G O2007Retrospect…”

Section: Resultsmentioning

confidence: 99%

Risk factors for obstetric fistula: a clinical review

et al. 2011

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Obstetric fistula is the presence of a hole between a woman’s genital tract and either the urinary or the intestinal tract. Better knowledge of the risk factors for obstetric fistula could help in preventing its occurrence. The purpose of this study was to assess the characteristics of obstetric fistula patients. We conducted a search of the literature to identify all relevant articles published during the period from 1987–2008. Among the 19 selected studies, 15 were reports from sub-Saharan Africa and 4 from the Middle East. Among the reported fistula cases, 79.4% to 100% were obstetrical while the remaining cases were from other causes. Rectovaginal fistulae accounted for 1% to 8%, vesicovaginal fistulae for 79% to 100% of cases, and combined vesicovaginal and rectovaginal fistulae were reported in 1% to 23% of cases. Teenagers accounted for 8.9% to 86% of the obstetrical fistulae patients at the time of treatment. Thirty-one to 67% of these women were primiparas. Among the obstetric fistula patients, 57.6% to 94.8% of women labor at home and are secondarily transferred to health facilities. Nine to 84% percent of these women delivered at home. Many of the fistula patients were shorter than 150 cm tall (40–79.4%). The mean duration of labor among the fistula patients ranged from 2.5 to 4 days. Twenty to 95.7% of patients labored for more than 24 h. Operative delivery was eventually performed in 11% to 60% of cases. Obstetric fistula was associated with several risk factors, and they appear to be preventable. This knowledge should be used in strengthening the preventive strategy both at the health facility and at the community level.

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Section: Resultsmentioning

confidence: 99%

Risk factors for obstetric fistula: a clinical review

et al. 2011

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“…A high number of primiparous women have been reported in many studies, with rates ranging between 42% and 67% [13]. Exceptions were found in two studies from Pakistan and Northern Nigeria, with only 14% and 31% of primiparous women respectively [2,14]. In those areas, obstetric fistula was mostly related to attempts to deliver at home and a long duration of labor.…”

Section: Discussionmentioning

confidence: 99%

“…Women who presented at the Maroua Provincial Hospital between May 2005 and August 2007 with leakage of urine or stool through the International Journal of Gynecology and Obstetrics 107 (2009) [12][13][14][15] vagina, and for whom the diagnosis of obstetric fistula was confirmed, were invited to participate in the study prior to undergoing corrective surgery. The site and size of fistulas were confirmed by speculum examination, bladder sounding, and in difficult cases instillation of 1% methylene blue in the bladder to trace the leakage.…”

Section: Methodsmentioning

confidence: 99%

Risk factors for obstetric fistula in the Far North Province of Cameroon

Tebeu

Bernis

Doh

et al. 2009

Intl J Gynecology & Obste

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“…[22] We cannot but agree with the submission of Ahmed et al that making policies, plans, and decisions in the absence of information is outrageous when issues are complex. [23] Melah et al, have also highlighted the importance of media-and community-based programs using cultural and religiously-based values to give sound advice. [24] We need a holistic approach to VVF!…”

Section: Discussionmentioning

confidence: 99%

Vesicovaginal fistula: Do the patients know the cause?

Hassan

Ekele

2009

Ann Afr Med

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Background: So much has been written on vesicovaginal fi stula (VVF) but there is little on the patients' perspective of the condition. The objectives of this study were to determine the knowledge of patients who have developed VVF on the causes of the fi stula and their attitude toward measures that would prevent future occurrence. Methods: The questionnaire-based survey was conducted on VVF patients on admission from June to August 2003 at Maryam Abacha Women and Children Welfare Hospital, Sokoto, Nigeria. The case notes of the patients were reviewed after the interview to match the responses from the patients with those documented in the folders. Focus group discussions were held with the maternity staff to ascertain the content and quality of existing counseling. Results: One hundred and thirty patients were studied out of which 121 (93%) had no formal education. Teenagers constituted 37%, while 57% were primiparae. Thirty-fi ve (27%) patients were divorced or separated because of the VVF. There were seven cases of recurrence after a previous successful repair. Prolonged obstructed labor was the cause of the VVF in 110 (85%) patients and 77 (70%) correctly attributed their problem to the prolonged labor. The 33 patients who could not identify the prolonged obstructed labor as the cause either attributed their condition to God/destiny or to the operation that was done to relief the obstruction and therefore would not have hospital delivery in their subsequent pregnancies. From the focus group discussions, it was confi rmed that pre and post-operative counseling were inadequate. Conclusion: Even though majority (70%) of the patients knew the cause of their fi stula from the health talks, some (32%) would still not change from risky obstetric behavior. Mandatory provision of accurate and appropriate information and education to all VVF patients and their relatives or spouses by trained counselors should be ensured. Such information and education should emphasize the etiology and management of obstetric fi stula in order to prevent a recurrence.

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Management of vesico‐vaginal fistulas in women

Abstract: Besides prevention, the basic principles of fistula repair are the most important factors in achieving surgical success. Better preoperative preparation and rigorous measures for preventing postoperative infection can help increase the success rate of fistula repair.

Cited by 33 publications

References 9 publications

Risk factors for obstetric fistula: a clinical review

Risk factors for obstetric fistula: a clinical review

Risk factors for obstetric fistula in the Far North Province of Cameroon

Vesicovaginal fistula: Do the patients know the cause?

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