alexa Repair of obstetric vesicovaginal fistulas in Africa.


Tropical Medicine & Surgery

Author(s): Roenneburg ML, Genadry R, Wheeless CR Jr, Roenneburg ML, Genadry R, Wheeless CR Jr

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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. This article was published in Am J Obstet Gynecol and referenced in Tropical Medicine & Surgery

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