Non-inferiority of short-term urethral catheterization following fistula repair surgery: study protocol for a randomized controlled trial
Journal Title: BMC Women's Health - Year 2012, Vol 12, Issue
Abstract
A vaginal fistula is a devastating condition, affecting an estimated 2 million girls and women across Africa and Asia. There are numerous challenges associated with providing fistula repair services in developing countries, including limited availability of operating rooms, equipment, surgeons with specialized skills, and funding from local or international donors to support surgeries and subsequent post-operative care. Finding ways of providing services in a more efficient and cost-effective manner, without compromising surgical outcomes and the overall health of the patient, is paramount. Shortening the duration of urethral catheterization following fistula repair surgery would increase treatment capacity, lower costs of services, and potentially lower risk of healthcare-associated infections among fistula patients. There is a lack of empirical evidence supporting any particular length of time for urethral catheterization following fistula repair surgery. This study will examine whether short-term (7 day) urethral catheterization is not worse by more than a minimal relevant difference to longer-term (14 day) urethral catheterization in terms of incidence of fistula repair breakdown among women with simple fistula presenting at study sites for fistula repair service.
Authors and Affiliations
Mark A Barone, Vera Frajzyngier, Steven Arrowsmith, Joseph Ruminjo, Armando Seuc, Evelyn Landry, Karen Beattie, Thierno Hamidou Barry, Alyona Lewis, Mulu Muleta, Dolorès Nembunzu, Robert Olupot, Ileogben Sunday-Adeoye, Weston Khisa Wakasiaka, Mariana Widmer, A Metin Gülmezoglu
Keywords
Related Articles
- EP ID EP679503
- DOI 10.1186/1472-6874-12-5
- Views 46
- Downloads 0
The health of women in the US fire service
Despite statements from national fire service organizations, including the International Association of Fire Fighters (IAFF) and the International Association of Fire Chiefs (IAFC), promoting a diverse work force related...
Mammography-based screening program: preliminary results from a first 2-year round in a Brazilian region using mobile and fixed units
Breast cancer is the most frequently diagnosed cancer and the leading cause of cancer deaths among women worldwide. The use of mobile mammography units to offer screening to women living in remote areas is a rational str...
Comparing health-related quality of life of employed women and housewives: a cross sectional study from southeast Iran
Quality of life differs for different people in different situations and is related to one's self-satisfaction with life. Considering the role of women in family and social health and the specific cultural characteristic...
Estimation of menstrual blood loss volume based on menstrual diary and laboratory data
Abnormal uterine bleeding is often investigated in clinical studies and critical to identify during gynecological consultation. The current standard for quantification of menstrual blood loss is the alkaline-hematin-meth...
Are quit attempts among U.S. female nurses who smoke different from female smokers in the general population? An analysis of the 2006/2007 tobacco use supplement to the current population survey
Smoking is a significant women's health issue. Examining smoking behaviors among occupational groups with a high prevalence of women may reveal the culture of smoking behavior and quit efforts of female smokers. The purp...