Objective: Traumatic absence of the proximal urethra is an obstetrical vesicovaginal fistula resulting from obstructed labors in Niger, Africa. Repair by direct reanastomosis was evaluated. Study design: A prospective case series of 25 women with traumatic absence of the proximal urethra underwent a direct layered reanastomosis of the distal urethra to the urethrovesical junction. Results are based on 21 patients (84%) examined at follow-up. Results: Seventeen patients (81%) had complete healing of their fistulas. After direct reanastomosis alone, 48% (10 of 21) were dry. An additional 7 patients (33%) suffered from urinary incontinence despite closure of their fistulas. Four patients (19%) had a persistent fistula. Conclusion: Direct layered reanastomosis is an acceptable primary repair procedure for traumatic absence of the proximal urethras.
- Obstetrical trauma
- Traumatic absence of the proximal urethra
- Urethrovaginal fistula
ASJC Scopus subject areas
- Obstetrics and Gynecology