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FISTULA: Reduces Fistula-Related Morbidity In Women From: Hope Waltman (anonymous@obgyn.net) Thu, 30 Apr 2009 17:42:35 -0500 (CDT) Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Hope Waltman: "UTI: Predominant Risk Factors For First UTI" Previous message: Hope Waltman: "Re: UTERINEPROLAPSE: Uterus Sparing Surgery - article- not hysterectomy" Prompt Treatment In Sierra Leone Reduces Fistula-Related Morbidity In Women Genitourinary fistulas (abnormal connections between organs or vessels that are normally unconnected) result from prolonged obstructed labor and delivery and are a cause of considerable morbidity in sub-Saharan African countries, such as Sierra Leone. Researchers studied 505 operative repairs from 2004 through 2006. Primary repairs (the patient's first repair) accounted for 68 percent of the procedures, with 92 percent of those being vesicovaginal fistula alone. Only 56 percent of the women were deemed to have an intact bladder neck or urethra at presentation and 68 percent were diagnosed with moderate to severe fibrosis around the fistula. The average patient age at the time of repair was 29.4 years. The average fistula duration, or time before seeking treatment, was 62 months. Conclusions were derived from statistical analysis of demographics, fistula characteristics, outcomes and surgical complications. On multivariate analysis, the only parameter that correlated with successful repair of the fistula was the extent of fibrosis. Researchers also reported that women with previous pregnancies showed significantly improved outcomes compared to first-time mothers. Lewis, A; Kaufman, M; Wolter, C; Phillips, S; Maggi, D; Condry, L; Dmochowski, R; Smith, J. Genitourinary fistula experience in Sierra Leone: review of 505 cases. J Urol, suppl. 2009: 181, 4, abstract 1570. http://www.medicalnewstoday.com/articles/147649.php Best Regards, Hope Waltman, WHF Moderator http://www.hopeforfibroids.org Next message: Hope Waltman: "UTI: Predominant Risk Factors For First UTI" Previous message: Hope Waltman: "Re: UTERINEPROLAPSE: Uterus Sparing Surgery - article- not hysterectomy"

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