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
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- EP ID EP679503
- DOI 10.1186/1472-6874-12-5
- Views 35
- Downloads 0
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