Surgical repair of genital fistulae

The Journal of Obstetrics and Gynaecology Research
Tahira NaruJamsheer Talati

Abstract

Genital fistula is one of the serious childbirth injuries that can occur among women in the developing countries. Complex fistulae still represent a challenging management problem. We report our experience of managing genital fistulae at the Aga Khan University Hospital (AKUH), Karachi, Pakistan. Eighty-seven women with genital fistulae were managed between January 1988 and December 2002. Sixty-eight cases were urogenital and 19 were rectovaginal fistulae. Three women had concomitant urogenital and rectovaginal fistulae. The position of patients for surgery and the route of repair were individualized according to the appropriate access to the fistulae. Of the 68 cases of urogenital fistulae, 54 were successfully repaired at first attempt. Three patients were cured at second repair. A success rate of 83.8% was achieved. Four patient with ureterosigmoid anastomosis and seven patients who were lost to follow-up, were considered as failures. All of the 19 rectovaginal fistulae (100%) closed after single repair. With an experienced uro-gynecologic team using conventional approach and meticulous repair, a high percentage of patients with genital fistulae can be rendered dry and continent.

References

Jul 1, 1973·The Journal of Obstetrics and Gynaecology of the British Commonwealth·J C Moir
Apr 19, 1969·British Medical Journal·R H Hamlin, E C Nicholson
May 1, 1983·British Journal of Obstetrics and Gynaecology·F Tahzib
Mar 1, 1980·The Journal of Urology·V J O'Conor
Mar 1, 1980·The Journal of Urology·W E Goodwin, P T Scardino
Mar 6, 1999·The Journal of Obstetrics and Gynaecology Research·J H Rizvi
Sep 8, 2001·Current Opinion in Obstetrics & Gynecology·P Hilton
Oct 30, 2004·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·J Kelly

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Citations

Oct 13, 2006·International Urogynecology Journal and Pelvic Floor Dysfunction·Tony Bazi
Sep 28, 2007·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Giovanni Li DestriGiuseppe Zarbo
Nov 30, 2006·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·C O ChigbuG C Iloabachie
Jan 31, 2006·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Damian CasadesusAngelina Diaz
Dec 25, 2004·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·S AhmadZ Khan
Jan 23, 2009·The Cochrane Database of Systematic Reviews·Adib EssaliJohn Rathbone
Jul 12, 2017·International Urogynecology Journal·Thinagrin Dhasarathun NaidooSaloshni Naidoo
Aug 5, 2020·European Urology Focus·Mariangela ManciniUNKNOWN European Reference Network for Rare Urogenital Diseases Complex Conditions (ERN eUROGEN)

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