TY - JOUR
T1 - Repair of obstetric vesicovaginal fistulas in Africa
AU - Roenneburg, Marcella L.
AU - Genadry, Rene
AU - Wheeless, Clifford R.
PY - 2006/12
Y1 - 2006/12
N2 - 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.
AB - 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.
KW - Incontinence
KW - Obstetric fistula
KW - Scarring
KW - Trauma
KW - Vesicovaginal fistula
UR - http://www.scopus.com/inward/record.url?scp=33751255433&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33751255433&partnerID=8YFLogxK
U2 - 10.1016/j.ajog.2006.07.031
DO - 10.1016/j.ajog.2006.07.031
M3 - Article
C2 - 17132477
AN - SCOPUS:33751255433
SN - 0002-9378
VL - 195
SP - 1748
EP - 1752
JO - American journal of obstetrics and gynecology
JF - American journal of obstetrics and gynecology
IS - 6
ER -