Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
Obstetric fistulas (OF) resulting from prolonged and obstructed labor continue to pose a significant challenge in developing countries. Therefore, this study aimed to examine the contributing factors influencing the recurrence and successful treatment outcomes of OF. Data were gathered from 75 patients attending a tertiary care hospital in India. All patients underwent surgical intervention for OF and were subsequently monitored for a duration of 3 months as part of the follow‐up. The efficacy of the treatment was assessed based on the absence of incontinence or the usage of dry pads. Recurrence of OF was defined as the persistent need for incontinence pads either immediately after the surgical procedure or following a period of dryness. The age of patients wax 28.21±8.91 years. Type I OF cases constituted the majority. Approximately 19% of the patients exhibited vaginal fibrosis during the course of surgery. The most frequently encountered location of the fistula was found to be pericervical. After a 3‐month follow‐up period, the recurrence was 27.5%. Among the recurring cases, type IIBb was the most prevalent. The study findings underscore that the presence of fibrosis and the location of the fistula, particularly in the urethral region, independently influence the likelihood of recurrence or persistence of OF following surgical repair.
How to cite this article:
Tejas Bipinchandra Patel, Himmatlal Ruplabhai Nisarata, Vimalkumar Kishanchandra Patel and Madhukar Rajaram Wagh. Obstetric Fistula Surgery: Indicators of Recurrence and Successful Treatment.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.445.449
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.445.449