Obstetric vesicovaginal fistulas: Evaluation of failed repairs

  title={Obstetric vesicovaginal fistulas: Evaluation of failed repairs},
  author={John D. Kelly and Barbara E Kwast},
  journal={International Urogynecology Journal},
  • J. Kelly, B. Kwast
  • Published 1 October 1993
  • Medicine
  • International Urogynecology Journal
During a 2-year period, there were 71 patients whose fistula repair was unsuccessful at the first attempt, at the Addis Ababa Fistula Hospital. All the obstetric fistulas resulted from obstructed labor, and in 17.1% the uterus had ruptured. There was a previous history of at least one unsuccessful attempt at repair in 18.3%; all the fistulas were complicated. Forty-one of the 71 patients were cured by a further operation; spontaneous cure occurred in 3 patients. Failed repair was associated… 
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