https://doi.org/10.4081/uij.2021.269
Characteristics of circumferential vesico-vaginal fistulas: A cross-sectional and multicentric study
Submitted: 16 April 2021
Accepted: 19 October 2021
Published: 17 November 2021
Accepted: 19 October 2021
Abstract Views: 1367
PDF: 128
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.
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
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.
Goh J, Romanzi L, Elneil S, et al. An International Continence Society (ICS) report on the terminology for female pelvic floor fistulas. Neurourol Urodynam 2020;39:2040-71.
DOI: https://doi.org/10.1002/nau.24508
Pope R, Beddow M. A review of surgical procedures to repair obstetric fistula. Int J Gynaecol Obstet. 2020;148:22-6.
DOI: https://doi.org/10.1002/ijgo.13035
Wright J. Circumferential urethral fistulae in Sub-Saharan Africa, current outcomes and future prospects. Int Urogynecol J 2015;26:1209-12.
DOI: https://doi.org/10.1007/s00192-015-2679-8
Hancock B. The operations. In: Practical Obstetric Fistula Surgery. Hancock B, Browning A, eds. London: Royal Society of Medicine Ltd; 2009: pp. 3–8.
Browning A. The circumferential obstetric fistula: characteristics, management and outcomes. BJOG 2007;114:1172-6.
DOI: https://doi.org/10.1111/j.1471-0528.2007.01329.x
Nardos R, Browning A, Chen CCG. Risk factors that predict failure after vaginal repair of obstetric vesicovaginal fistulae. Am J Obstet Gynecol 2009;200:578.e1-4.
DOI: https://doi.org/10.1016/j.ajog.2008.12.008
Waaldijk K. Surgical classification of obstetric fistulas. Int J Gynecol Obstet 1995;49:161-3.
DOI: https://doi.org/10.1016/0020-7292(95)02350-L
Kaboré FA, Kambou T, Ouattara A, et al. Epidemiology, etiology and psychosocial impact of urogenital fistulas in a cohort of 170 consecutive patients managed in three treatment centers in Burkina Faso from 2010 to 2012. Prog Urol 2014;24:526-32.
DOI: https://doi.org/10.1016/j.purol.2014.03.001
Barry M, Diallo I, Bah M, et al. Transection type, vesico-vaginal fistula surgery. Open J Urol 2020;10:263-74.
DOI: https://doi.org/10.4236/oju.2020.1011031
Wright J, Ayenachew F, Ballard KD. The changing face of obstetric fistula surgery in Ethiopia. Int J Womens Health 2016;8:243-8.
DOI: https://doi.org/10.2147/IJWH.S106645
Goh JTW, Browning A, Berhan B, Chang A. Predicting the risk of failure of closure of obstetric fistula and residual urinary incontinence using a classification system. Int Urogynecol J Pelvic Floor Dysfunct 2008;19:1659-62.
DOI: https://doi.org/10.1007/s00192-008-0693-9
Kopp DM, Tang JH, Bengtson AM, et al. Continence, quality of life and depression following surgical repair of obstetric vesicovaginal fistula: a cohort study. BJOG 2019;126:926-34.
DOI: https://doi.org/10.1111/1471-0528.15546
Kayondo M, Wasswa S, Kabakyenga J, et al. Predictors and outcome of surgical repair of obstetric fistula at a regional referral hospital, Mbarara, western Uganda. BMC Urol 2011;11:23.
DOI: https://doi.org/10.1186/1471-2490-11-23
Browning A. Prevention of residual urinary incontinence following successful repair of obstetric vesico-vaginal fistula using a fibro-muscular sling. BJOG 2004;111:357-61.
DOI: https://doi.org/10.1111/j.1471-0528.2004.00080.x
Loposso MN, Ndundu J, De Win G, et al. Obstetric fistula in a district hospital in DR Congo: Fistula still occur despite access to caesarean section. Neurourol Urodyn 2015;34:434-7.
DOI: https://doi.org/10.1002/nau.22601
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
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:
- 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.
- 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:
- 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.
- 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.
- 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.