https://doi.org/10.4081/uij.2011.e8

Obstetric fistula repair: a guide to patient selection

Vol. 25 No. 1 (2011)
Submitted: 25 May 2011
Accepted: 11 October 2011
Published: 28 October 2011
vesicovaginal fistula, patient selection, successful repair
Abstract Views: 461
PDF: 216
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

Aniefiok J. Umoiyoho
University of Uyo Uyo, Akwa Ibom state Nigeria, Nigeria.
Emmanuel C. Inyang-Etoh
emmacol2000@yahoo.com
University of Uyo Uyo, Akwa Ibom state Nigeria, Nigeria.
Objective. The World Health Organization has advocated for the classification of obstetric fistula into simple and complex cases. This study set out to design a guide to patient selection to facilitate the attainment of this goal. Materials and Methods. Associated risk factors were identified and analyzed among a cross section of women who had complex obstetric vesicovaginal fistulas. Results. The risk factors that were identified to affect significantly the prospect of cure following repair were large size of the fistula greater than 4 cm, associated urethral loss and adherence of the fistula to the pubic bone. Others were three or more previous attempts at repair, moderate to severe degree of scarring at the fistula margin, combined vesicovaginal and rectovaginal fistulas and the proximity of the fistula margin to the ureter. Each identified risk factor was allocated a score ranging from 0 to 4 depending on the adjudged capacity of the factor to affect the prospect of cure following repair. Conclusions. Any case of vesicovaginal fistula with a total score of 4 or less using the proposed prognostic scoring system was adjudged suitable for repair by gynaecological or general surgeons, who have been trained on fistula repair with a significant prospect of success.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Crossref
Scopus
Google Scholar
Europe PMC

Supporting Agencies

None
Aniefiok J. Umoiyoho, University of Uyo Uyo, Akwa Ibom state Nigeria

Obstetrics and Gynaecology

Chief consultant/Associate professor

Emmanuel C. Inyang-Etoh, University of Uyo Uyo, Akwa Ibom state Nigeria

Obstetrics and Gynaecology

Consultant/Lecturer- 1

How to Cite

Umoiyoho, A. J., & Inyang-Etoh, E. C. (2011). Obstetric fistula repair: a guide to patient selection. Urogynaecologia, 25(1), e8. https://doi.org/10.4081/uij.2011.e8

PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.

An Open Access Publication is one that meets the following two conditions:

  1. the author(s) and copyright holder(s) grant(s) to all users a free, irrevocable, worldwide, perpetual right of access to, and a license to copy, use, distribute, transmit and display the work publicly and to make and distribute derivative works, in any digital medium for any responsible purpose, subject to proper attribution of authorship, as well as the right to make small numbers of printed copies for their personal use.
  2. a complete version of the work and all supplemental materials, including a copy of the permission as stated above, in a suitable standard electronic format is deposited immediately upon initial publication in at least one online repository that is supported by an academic institution, scholarly society, government agency, or other well-established organization that seeks to enable open access, unrestricted distribution, interoperability, and long-term archiving.

Authors who publish with this journal agree to the following terms:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.

Similar Articles

1 2 3 4 5 6 > >> 

You may also start an advanced similarity search for this article.