Epidemiologic study of vesicovaginal fistulas in ethiopia

  title={Epidemiologic study of vesicovaginal fistulas in ethiopia},
  author={John D. Kelly and Barbara E Kwast},
  journal={International Urogynecology Journal},
  • J. Kelly, B. Kwast
  • Published 1 October 1993
  • Medicine
  • International Urogynecology Journal
Three hundred and nine patients (a 1∶10 random sample) treated at the Addis Ababa Fistula Hospital during the years 1983 to 1988 were studied for biosocial factors, obstetric history, previous attempts at repair, the condition of the patient and the extent of injury to the genitourinary tract, as well as treatment and results. Sixty-five percent of patients were under 25 years. The cause of the fistula was obstructed labor in 97.4%; in 62.7% it was the patient's first labor; the outcome for the… 
Epidemiological and surgical aspects of urogenital fistulae: A review of 25 years' experience in southeast Nigeria
The epidemiological background, clinical details and surgical outcome of patients presenting with urogenital fistulae to St Luke's Hospital, Uyo, and the associated VVF Unit at Mbribit Itam, Nigeria, between January 1970 and December 1994 are determined.
Vesicovaginal fistula: a review of nigerian experience.
The identified predisposing factors were early marriage and pregnancy, which were rampant in northern Nigeria, while unskilled birth attendance and late presentation to the health facilities was common nationwide.
Obstetric fistula in developing countries: a review article.
  • M. Muleta
  • Medicine
    Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC
  • 2006
The epidemiology of obstetric fistula is described, with specific emphasis on the experience of the Addis Ababa Fistula Hospital, and the need for curative care services for the sufferers is shown to be significant.
Obstetric Fistula Repair: Experience with Hospital-Based Outreach Approach in Nigeria
The use of hospital- based outreach approach to repair simple cases of obstetric fistula if multiplied could help reduce the large number of women living with unrepaired VVF in Nigeria.
Characteristics and Surgical Success of Patients Presenting for Repair of Genitourinary Fistula in VVF Center of a Tertiary Hospital
Gynaecological fistula can be repaired more successfully than obstetrical one and first attempt of surgery is the best attempt, so must be done at skilled hand.
Assessment of Obstetric Fistula and Factors Associated among Women admitted to Jimma Medical Center, South West Ethiopia
Preventing and managing fistula will contribute to achieving improving maternal and child health in areas where unattended obstructed labor is common and generally, prevention is better than cure.
Clinical Features Of Patients Diagnosed With Vesico Vaginal Fistula (Vvf) In South East Nigeria
Based on the outcomes, it was concluded that clinical features had a remarkable difference on the prevalence and incidence of VVF among diagnosed patients.
Prevalence of anaemia in obstetric fistula patients in Abakaliki
  • A. I. Adegoke
  • Medicine
    International Journal of Research in Medical Sciences
  • 2018
Two-thirds of the patients were anaemic based on WHO's cut off and this is higher than global and local prevalence of anaemia in non-pregnant women and it is reasonable to suspect anaemic in obstetric fistula patients and correction of same should start as early as possible in order to minimize the complications of anemia in this group of patients.
Genito-urinary fistula patients at Bugando Medical Centre.
The study shows that low education and poverty were the key factors in the development of fistula, and most obstetric fistulae can be cured, particularly during the first attempt by those properly trained in the skills.
Obstetric fistulas in rural Pakistan
  • A. Jokhio, J. Kelly
  • Medicine
    International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
  • 2006
The main surgical cause was hysterectomy and of the 2 Ureteric fistulas one was associated with ureterolithotomy and the other with cesarean section and the fistula followed a first pregnancy in 39.4% of cases a rate lower than those reported in a series from Africa.


Epidemiological determinants of vesicovaginal fistulas
  • F. Tahzib
  • Medicine
    British journal of obstetrics and gynaecology
  • 1983
The preventable nature of the lesion was explored particularly with respect to age, parity and obstructed labour, and to traditional practices including‘gishiri cutting', which alone accounts for 13% of all the fistulas.
[Vesico-vaginal fistulas].
Hospital care is imperative during any subsequent pregnancies to avoid another fistula, and prevention in the form of screening of difficult deliveries and transfer to the nearest hospital at any moment is the best form of treatment for this condition.
The object of this paper is to indicate the extent of the problem of the vesico-vaginal fistula, which is still a major concern in this part of Asia, and one which takes up a disproportionate amount of operating time and of post-operative care.
The appearance on the injured side of the head of two distinct contused wounds of the scalp, was a point of some interest in a medico-legal sense, and it is probable, but by no means certain, that the motor nerves affected were those supplying the right side ofThe organ.
Les fistulas vesicovaginales Africaines
  • Med Trop
  • 1980
New trends in the operative management of urinary fistulae
  • Sudan Med J
  • 1975
Experiences in the treatment of 600 vaginal fistulas and in the management of 80 labors which have followed the repair of these injuries
  • Ethiopian MedJ
  • 1966
Vesico-vaginal fistulae.
  • P. Vadamalayan
  • Medicine
    The Journal of the Christian Medical Association of India
  • 1950