Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Risk factors that predict failure after vaginal repair of obstetric vesicovaginal fistulae
American Journal of Obstetrics and Gynecology, Volume 200, No. 5, Year 2009
Notification
URL copied to clipboard!
Description
Objective: To identify anatomic characteristics and method of bladder closure that predict failure after repair of obstetric vesicovaginal fistulae. Study Design: A retrospective analysis of 1045 patients that underwent vaginal repair of vesicovaginal fistulae from January 2006 to December 2007 at the Addis Ababa Hamlin Fistula Hospital. Results: The fistulae were midvaginal (26%), adjacent to ureteral orifice (22%), circumferential (6%), had urethral compromise (10%), or had a combination of different locations (17%). Most had fair or good residual bladder size (83%) and minimal or moderate vaginal scarring (85%). Closure was in 1 layer in 48% and 2 layers in 52% with 89% cure, 11% failure, and 17% urethral incontinence. Failures were significantly associated with complete or partial urethral destruction, severe vaginal scarring, small bladders, and circumferential involvement. The 1-layer fistula closure was associated with failure but not after excluding small bladders. Conclusion: Risk factors for failure include small bladder size, urethral destruction, circumferential involvement, and severe vaginal scarring. © 2009 Mosby, Inc. All rights reserved.
Authors & Co-Authors
Nardos, Rahel
Unknown Affiliation
Browning, Andrew S.
Unknown Affiliation
Chen, Chi Chiung Grace
Unknown Affiliation
Statistics
Citations: 72
Authors: 3
Affiliations: 4
Identifiers
Doi:
10.1016/j.ajog.2008.12.008
ISSN:
00029378
Research Areas
Health System And Policy
Maternal And Child Health
Study Design
Cohort Study