Clinical Profile of Urogenital Fistula in Kathmandu Model Hospital.
Latrogenic fistula
obstructed labour urogenital fistula.
Journal
Journal of Nepal Health Research Council
ISSN: 1999-6217
Titre abrégé: J Nepal Health Res Counc
Pays: Nepal
ID NLM: 101292936
Informations de publication
Date de publication:
07 Sep 2020
07 Sep 2020
Historique:
received:
18
11
2019
accepted:
07
09
2020
entrez:
24
9
2020
pubmed:
25
9
2020
medline:
25
6
2021
Statut:
epublish
Résumé
To determine the causes of fistula and to share our experience in treating urogenital fistula and its surgical outcome. This was a retrospective study done at Kathmandu Model Hospital from January 2014 to June 2019 including 261 patients operated for fistula. The patients were analyzed for age, type of fistula, cause, treatment and surgical outcome. Out of 261 patients operated, 59.38% cases had obstetric fistula, 38.69% had iatrogenic and 1.92% had traumatic fistula. Most of the patients with obstetric fistula were between 21 to 25 years of age whereas iatrogenic fistulae were between 46-50 years of age. The majority (54.84%) of obstetric fistulae were vesicovaginal fistula (54.84%) while the commonest type (77.36%) of iatrogenic fistula was vault fistula after abdominal hysterectomy. This study showed that obstructed and neglected labor was still the major cause of genitourinary fistula in Nepal nevertheless iatrogenic fistula following pelvic surgery is increasing. The surgical outcome of repair of fistula was good.
Sections du résumé
BACKGROUND
BACKGROUND
To determine the causes of fistula and to share our experience in treating urogenital fistula and its surgical outcome.
METHODS
METHODS
This was a retrospective study done at Kathmandu Model Hospital from January 2014 to June 2019 including 261 patients operated for fistula. The patients were analyzed for age, type of fistula, cause, treatment and surgical outcome.
RESULTS
RESULTS
Out of 261 patients operated, 59.38% cases had obstetric fistula, 38.69% had iatrogenic and 1.92% had traumatic fistula. Most of the patients with obstetric fistula were between 21 to 25 years of age whereas iatrogenic fistulae were between 46-50 years of age. The majority (54.84%) of obstetric fistulae were vesicovaginal fistula (54.84%) while the commonest type (77.36%) of iatrogenic fistula was vault fistula after abdominal hysterectomy.
CONCLUSIONS
CONCLUSIONS
This study showed that obstructed and neglected labor was still the major cause of genitourinary fistula in Nepal nevertheless iatrogenic fistula following pelvic surgery is increasing. The surgical outcome of repair of fistula was good.
Identifiants
pubmed: 32969379
doi: 10.33314/jnhrc.v18i2.2376
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM