Characteristics of circumferential vesico-vaginal fistulas: A cross-sectional and multicentric study

Submitted: 16 April 2021
Accepted: 19 October 2021
Published: 17 November 2021
Abstract Views: 1417
PDF: 160
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Authors

The objective of the study was to determine the risk factors for development of circumferential fistula. We carried out a crosssectional, multicentric and analytical study over 7 years period, from 1st January, 2010 to 31 December, 2016. We compared circumferential and non- circumferential fistula patients in order to determine the risk factors for circumferential fistula development. Circumferential fistula accounted for 20% (91/456) of all vesico-vaginal fistulas. The mean age of the 456 patients was 35.9 years±12.15 (min 15 years; max 72 years). On univariate analysis, factors associated with the risk of circumferential fistula were: residence (P=0.039; OR=1.7), parity (P=0.04; OR=0.47), marital status before fistula (P=0.002; 4.3), duration of labor (P=0.041; OR=2.7) and fistula aetiology (P=0.038; OR=2.54). In a logistic regression model, two factors remained significant: marital status before fistula (P=0.029; OR=0.13) and duration of labor (P=0.017; OR=0.26). Circumferential fistula occurs in urban, primiparous, unmarried women who have been in labor for more than 41 hours.

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Citations

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How to Cite

Kaboré, M., Kirakoya, B., Ouattara, A., Yameogo, C. A. M. K. D., Nama, S. D. A., Karsenty, G., & Kaboré, F. A. (2021). Characteristics of circumferential vesico-vaginal fistulas: A cross-sectional and multicentric study. Urogynaecologia, 33(1). https://doi.org/10.4081/uij.2021.269

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