Reintegration needs of young women following genitourinary fistula surgery in Uganda

International Urogynecology Journal
Alice EmasuJustus Barageine

Abstract

Genitourinary fistulas (usually arising following prolonged obstructed labor) are particularly devastating for women in low-income counties. Surgical repair is often difficult and delayed. While much attention has been devoted to technical surgical issues, the challenges of returning to normal personal, family, and community life after surgical treatment have received less scrutiny from researchers. We surveyed young Ugandan women recovering from genitourinary fistula surgery to assess their social reintegration needs following surgery. A cross-sectional survey of 61 young women aged 14-24 years was carried out 6 months postoperatively. Interviews were carried out in local languages using a standardized, interviewer-administered, semistructured questionnaire. Data were entered using EpiData and analyzed using SPSS. Ongoing reintegration needs fell into interrelated medical, economic, and psychosocial domains. Although >90% of fistulas were closed successfully, more than half of women had medical comorbidities requiring ongoing treatment. Physical limitations, such as foot drop and pelvic muscle dysfunction impacted their ability to work and resume their marital relationships. Anxieties about living arrangements, income, physica...Continue Reading

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Citations

May 4, 2021·International Journal of Surgery·Esther PlattCaris E Grimes
Jul 30, 2021·Clinical Obstetrics and Gynecology·L Lewis WallFekade Ayenachew

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Methods Mentioned

BETA
cesarean section
hysterectomy

Software Mentioned

TERREWODE
SPSS

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