Vesico‐vaginal fistulas in developing countries

@article{Hilton2003VesicovaginalFI,
  title={Vesico‐vaginal fistulas in developing countries},
  author={Paul Hilton},
  journal={International Journal of Gynecology \& Obstetrics},
  year={2003},
  volume={82}
}
  • P. Hilton
  • Published 1 September 2003
  • Medicine
  • International Journal of Gynecology & Obstetrics
Vesico‐vaginal fistula remains a major public health issue in the developing world. Over 80% of cases result from neglected obstructed labour, and the condition may follow 1–2 per 1000 deliveries, with an annual worldwide incidence of up to 500 000 cases. The principles of investigation and treatment are reviewed in this paper, although national and international strategies aimed at prevention are much more important to the ultimate eradication of this devastating condition. Such strategies… Expand
Obstetric Fistula – An Unceasing Scourge in the Developing World
Obstetric fistula is a devastating problem known to mankind from time immemorial [1]. It is an abnormal opening into the vagina leading to continuous involuntary leakage of urine and/or faecesExpand
Vesicovaginal fistula: obstetric causes
Purpose of review Obstetric fistula has a devastating impact on the lives of women in poor countries. Currently, there is an international campaign by the World Health Organisation, United NationsExpand
Large Vesico-Vaginal Fistula Caused by a Foreign Body
TLDR
A nulliparous 19-year-old female presented with a 3-week history of a foreign body in the vagina causing urinary incontinence and offensive vaginal discharge, and a large vesico-vaginal fistula was discovered, which was successfully surgically repaired. Expand
Obstetric Vesico-vaginal Fistulae: A Documentary Review of Women Managed in Mendefera Zonal Referral and National Fistula Hospital, Eritrea
TLDR
The incidence of fistula in Eritrea is relatively low as compared to other sub-Saharan African countries, and age at fistula development was older than usually found, which might be due to poor access to emergency obstetric care (EmOC). Expand
A Situational Analysis of Vesico-Vaginal Fistula at the Aberdeen Women's Centre-Freetown
Vesicovaginal fistula is a hole that develops between a woman’s vagina and her urinary bladder, usually as a result of prolonged obstructed labour, resulting in continuous or intermittent urineExpand
Obstetric fistula: A challenge to public health
TLDR
This review helps to eradicate or alleviate the problem of OF in LICs like India by identifying and exploring the knowledge regarding OF as a public health problem in LIC’s from peer review literature. Expand
Obstetric Fistula in Burundi: a comprehensive approach to managing women with this neglected disease
TLDR
In a rural African setting, it is feasible to implement a comprehensive package of fistula care using a dedicated fistula facility, and satisfactory surgical repair outcomes can be achieved. Expand
Corrosive-induced vesicovaginal fistula with procidentia: a rare occurrence
TLDR
A case of VVF caused by the application of a mixture of chemicals in a female with longstanding pelvic organ prolapse is reported, which is only the second of its kind reported till date. Expand
Obstetric urinary fistulas in KwaZulu-Natal - what is the extent of this tragedy?
TLDR
The demographics and clinical characteristics of women with obstetric fistulas attending the urogynaecological unit at King Edward VIII Hospital (KEH), KwaZulu-Natal (KZN), South Africa, are described, and Obstetric fistula are still common in KZN and the Eastern Cape, and occur mainly in women from rural areas. Expand
Clinical Features and Management of Obstetric Fistula at the Protestant Hospital of Ngaoundéré (Cameroon)
TLDR
The study shows good results of this center in the treatment of obstetrical fistula, yet significant effort is still needed to attain the goal of complete eradication of obstetric fistula. Expand
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 65 REFERENCES
Epidemiological determinants of vesicovaginal fistulas
  • F. Tahzib
  • Medicine
  • British journal of obstetrics and gynaecology
  • 1983
TLDR
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. Expand
VESICAL FISTULAE INTO THE VAGINAL VAULT1
TLDR
Most of the fistulae were approached per vaginam, but in 37 cases the fistula was fixed high in the pelvis and abdominal repair was therefore preferred, usually by the intravesical route. Expand
Prevention of residual urinary incontinence following successful repair of obstetric vesico‐vaginal fistula using a fibro‐muscular sling
  • A. Browning
  • Medicine
  • BJOG : an international journal of obstetrics and gynaecology
  • 2004
TLDR
A new and simple surgical procedure is described, which, when employed at the time of fistula closure, seems to reduce the incidence of residual incontinence in those women at a higher risk of developing it. Expand
VESICOVAGINAL FISTULA IN NIGERIAN CHILDEN
Of 80 cases of vesicovaginal fistula in children less than thirteen years of age in Northern Nigeria, 48 were due to labour, 12 to the traditional practice of gishiri cutting, and 20 to other causesExpand
An investigation of sociomedical risk factors associated with vaginal fistula in northern Nigeria.
In some countries in Africa it is customary for early marriages involving young adolescent girls to be contracted prior to the commencement of their menses. This practice often results in prematureExpand
The epidemiology of genitourinary fistulae in Kumasi, Ghana, 1977–1992
TLDR
In Kumasi, Ghana, obstetric trauma from prolonged obstructed labor is the most common cause of genitourinary fistula formation and such fistulae occur in older multiparous women as well in young primigravidae. Expand
Epidemiological and surgical aspects of urogenital fistulae: A review of 25 years' experience in southeast Nigeria
TLDR
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. Expand
Management of female genitourinary fistulas: transvesical or transvaginal approach?
TLDR
Limited transvesical repair of complex irradiated vesicovaginal fistulas offers reliable success with minimal morbidity and hospital stay comparable to those of the transvaginal approach. Expand
Conservative treatment of vesicovaginal fistulas by bladder drainage alone.
TLDR
4 cases of conservative management of vesicovaginal fistulas occurring as a complication of abdominal and vaginal hysterectomy with spontaneous closure following adequate bladder drainage are described. Expand
Surgical repair of vesicovaginal fistulae--a ten-year retrospective study.
TLDR
It seems that vesicovaginal fistulae resulting from pelvic surgery, in the authors' hands, can be managed successfully either by an abdominal or vaginal approach, and for patients with vesICovaginals resulting from radiation therapy, a urinary diversion appears to be the method of choice. Expand
...
1
2
3
4
5
...