Repair of obstetric vesicovaginal fistulas in Africa

Marcella L. Roenneburg, Rene Genadry, Clifford R. Wheeless

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish (US)
Pages (from-to)1748-1752
Number of pages5
JournalAmerican journal of obstetrics and gynecology
Volume195
Issue number6
DOIs
StatePublished - Dec 1 2006

Keywords

  • Incontinence
  • Obstetric fistula
  • Scarring
  • Trauma
  • Vesicovaginal fistula

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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