Author(s): Roenneburg ML, Wheeless CR Jr
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Abstract 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.
This article was published in Am J Obstet Gynecol
and referenced in Gynecology & Obstetrics