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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Predicting the risk of failure of closure of obstetric fistula and residual urinary incontinence using a classification system
International Urogynecology Journal, Volume 19, No. 12, Year 2008
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Description
The aim of this study is to assess the possibility of predicting the risk of failure of closure and post-fistula urinary incontinence. Women attending the fistula clinics were assessed pre-operatively, and fistulae were staged prospectively, using a previously published classification system. Assessment for fistula closure and residual urinary incontinence was performed, prior to discharge. Of the 987 women who were assessed, 960 had successful closure of their fistulae. Of those with successful closure, 229 complained of urinary incontinence following surgery. Women with fistulae located closest to the external urinary meatus had the highest rate of urinary incontinence following fistula closure. Women with significant vaginal scarring and circumferential fistulae also had significantly higher rates of urinary incontinence and higher risk of failure of closure. The classification used is able to predict women at risk of post-fistula urinary incontinence and failure of closure. © The International Urogynecological Association 2008.
Authors & Co-Authors
Goh, Judith T.W.
Australia, Brisbane
Griffith University
Australia, Greenslopes
Greenslopes Private Hospital
Browning, Andrew S.
Ethiopia
Hamlin Fistula Centre
Berhan, Birhanu
Ethiopia
Hamlin Fistula Centre
Chang, Allan M.Z.
Australia, Brisbane
Mater Misericordiae Hospital
Statistics
Citations: 87
Authors: 4
Affiliations: 4
Identifiers
Doi:
10.1007/s00192-008-0693-9
ISSN:
09373462
Research Areas
Health System And Policy
Maternal And Child Health
Participants Gender
Female