Document Detail


Duration of bladder catheterization after surgery for obstetric fistula.
MedLine Citation:
PMID:  18632103     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To compare the surgical outcome at discharge and at 6-months follow up in patients who underwent repair of obstetric fistulae with postoperative bladder catheterization for 10, 12, or 14 days. METHODS: A retrospective study of 212 obstetric fistula patients who underwent repair with postoperative bladder catheterization for 10 days (group 1), 12 days (group 2), and 14 days (group 3) at the Bahir Dar Hamlin Fistula Center in Ethiopia. Fistulas were classified according to Goh's system. RESULTS: There were 68 women (32%) in group 1, 62 women (29%) in group 2, and 82 women (39%) in group 3. There was a significant difference in the extent of urethral involvement, fistula size, and degree of vaginal scarring among the 3 groups, with the more extensively damaged patients catheterized for longer. Breakdown of repair was seen in 1.5% of patients in group 1, none in group 2, and 2% in group 3 (P=0.47). CONCLUSION: Postoperative catheterization for 10 days may be sufficient for management of less complicated obstetric vesicovaginal fistulae.
Authors:
Rahel Nardos; Andrew Browning; Birhanu Member
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Publication Detail:
Type:  Journal Article     Date:  2008-07-16
Journal Detail:
Title:  International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics     Volume:  103     ISSN:  0020-7292     ISO Abbreviation:  Int J Gynaecol Obstet     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-09-22     Completed Date:  2009-01-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0210174     Medline TA:  Int J Gynaecol Obstet     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  30-2     Citation Subset:  IM    
Affiliation:
Bahir Dar Hamlin Fistula Center, Bahir Dar, Ethiopia. Rahel.nardos@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Ethiopia / epidemiology
Female
Follow-Up Studies
Humans
Obstetric Labor Complications / surgery*
Postoperative Care / methods*
Pregnancy
Retrospective Studies
Time Factors
Urinary Bladder / surgery
Urinary Catheterization / methods*
Vesicovaginal Fistula / classification,  physiopathology,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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