The Management of Vesico-vaginal Fistula in State Specialist Hospital Maiduguri, Borno State
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2016, Vol 17, Issue 1
Abstract
Background: Vesico-vaginal fistula is a common problem that has public health significance. Aims: To determine the epidemiology, causes as well as the outcomes of VVF repair in the Department of Obstetrics and Gynaecology State Specialist Hospital Maiduguri, Borno State of Nigeria. Methods: A ten year (Jan 1998 to Dec 2007) retrospective review of the patients’ records, operation theatre records and Gynaecological clinic records of patients with vesico-vaginal fistula. Results: Three hundred and eighty five (385) VVF repair were done out of 2105 gynaecological operations during the study period, giving a prevalence of 18.3%. Three hundred and forty seven (347) patients records were analysed. Most (51.9%) of the fistulae occurred in women aged 15-24 years. The patients are mostly married (79%), primiparas (56.5%), uneducated (89%) and not salaried employed (99.4%). Obstetrics complication was the commonest cause of VVF. The overall success rate of repair was 59.1%. Success of repair decreases as the number of fistula or complexity of fistula increases (p<0.0001). Conclusion: Vesico-vaginal fistula is mainly caused by prolonged obstructed labour. Complexity of fistula was associated with poor surgical outcome. Interventions that will improve access to trained delivery attendant will minimise the occurrence of prolonged obstructed labour and that will go a long way to decrease the incidence of vesico-vaginal fistula.
Authors and Affiliations
A. D. Geidam, E. Barka
Keywords
Related Articles
- EP ID EP341539
- DOI 10.9734/BJMMR/2016/27859
- Views 110
- Downloads 0
Inorganic and Organic Mercury Levels in the United States National Health and Nutrition Examination Survey (NHANES) 2005-2010
Aims: Mercury is an environmental hazard. Therefore, we studied recent trends in the blood level of organic and inorganic mercury in the United States (US). Methodology: We analyzed newly available data on blood inorgani...
HCV Extrahepatic Events: Cryoglobulinemic Syndrome – A Case Report in an Over-70-Year Old Patient
Mixed Cryoglobulinemia (MC) is the most severe among the extrahepatic manifestations of hepatitis C virus. It is a circulating immune disease due to a virus-induced proliferative disorder of B lymphocytes, mainly involvi...
A Purely Paraspinally Located Schwannoma from a Dorsal Root of a Spinal Nerve
Background: Spinal Schwannomas are benign nerve sheet tumors and the most common intradural extramedullary tumors of the spine, mainly occurring in the cervical and lumbar region. Case Description: Here we illustrate th...
Microbial Profile of Paediatric Ear Infections in a Tertiary Hospital in the Niger Delta Region of Nigeria
Background: Ear infections are common in childhood. The diagnosis and management of these infections in children is often difficult due to absence or non-implementation of clinical guidelines in developing countries like...
Periodontal Health Status of Pregnant Women Attending Various Government Hospitals in Faridabad City, Haryana, India
Aims: The aim of the present study was to find out the periodontal health status among pregnant women attending various government hospitals in Faridabad city. Methodology: This was a descriptive cross sectional single s...