| Obstetric fistulas: a clinical review. | |
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MedLine Citation:
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PMID: 17868675 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A high proportion of genitourinary fistulas have an obstetric origin. Obstetric fistulas are caused by prolonged obstructed labor coupled with a lack of medical attention. While successful management with prolonged bladder drainage has occasionally been reported, mature fistulas require formal operative repair, and it is crucial that the first repair is done properly. The literature reports 3 approaches to fistula repair: vaginal, abdominal, and combined vaginal and abdominal. Many authors report high success rates for the surgical closure of obstetric fistulas at the time of hospital discharge, without further evaluation of the repair's effect on urinary continence or subsequent quality of life. Data on obstetric fistulas are scarce, and thus many questions regarding fistula management remain unanswered. A standardized terminology and classification, as well as a data reporting system on the surgical management of obstetric fistulas and its outcomes, are critical steps that need to be taken immediately. |
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Authors:
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A A Creanga; R R Genadry |
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Publication Detail:
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Type: Journal Article; Review Date: 2007-09-14 |
Journal Detail:
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Title: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics Volume: 99 Suppl 1 ISSN: 0020-7292 ISO Abbreviation: Int J Gynaecol Obstet Publication Date: 2007 Nov |
Date Detail:
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Created Date: 2007-10-01 Completed Date: 2008-05-07 Revised Date: 2009-08-17 |
Medline Journal Info:
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Nlm Unique ID: 0210174 Medline TA: Int J Gynaecol Obstet Country: Ireland |
Other Details:
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Languages: eng Pagination: S40-6 Citation Subset: IM |
Affiliation:
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Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland 21205, USA. acreanga@jhsph.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Female Gynecologic Surgical Procedures / methods* Gynecology / methods Humans Obstetric Labor Complications / diagnosis*, epidemiology, surgery* Pregnancy Reproductive Medicine / methods Treatment Outcome Urogenital Surgical Procedures / methods* Vesicovaginal Fistula / diagnosis*, epidemiology, surgery* |
| Comments/Corrections | |
Erratum In:
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Int J Gynaecol Obstet. 2009 Jul;106(1):95 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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