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Uncomplicated midvaginal vesico-vaginal fistula repair in Ibadan: a comparison of the abdominal and vaginal routes
Background: Obstetric fistula is a resultant effect of prolonged obstructed labour. The best surgical management of simple uncomplicated fistula determines the outcome of care. Objective: To compare outcome of uncomplicated mid-vaginal fistula between vaginal and abdominal route of repair. Materials...
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2008-12
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| LEADER | 00000njm a2000000a 4500 | ||
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| 001 | oai:repository.ui.edu.ng:123456789/8239 | ||
| 042 | |a dc | ||
| 720 | |a Morhason-Bello, I. O. |e author | ||
| 720 | |a Ojengbede, O. A. |e author | ||
| 720 | |a Adedokun, B. O. |e author | ||
| 720 | |a Okunlola, M. A. |e author | ||
| 720 | |a Oladokun, A. |e author | ||
| 260 | |c 2008-12 | ||
| 520 | |a Background: Obstetric fistula is a resultant effect of prolonged obstructed labour. The best surgical management of simple uncomplicated fistula determines the outcome of care. Objective: To compare outcome of uncomplicated mid-vaginal fistula between vaginal and abdominal route of repair. Materials and Method: This was a hospital based retrospective study conducted at the University College Hospital, Ibadan from January, 2000 till December, 2006. Result: Of the 71 midvaginal fistulae managed, 40.8% had abdominal repair while the remainder were through vaginal approach. The overall repair success rate was 79.2% with comparable outcome in both groups-78.3% for the abdominal and 80% for the vaginal group (p=0.999). The duration of hospital stay did not differ significantly between the groups (p=0.972). Post operative complications were found in 41.4% of the abdominal group compared to none in the vaginal group (p<0.001). The complications were failed repair (20.7%) and urinary tract infection (20.7%). The mean estimated blood loss was 465.5ml in the abdominal group compared to 332.9ml for the vaginal group (p=0.303). Conclusion: Despite the comparable surgical repair outcome of the two methods, the vaginal approach is associated with lesser blood loss and lower risk of post-operative complications. It is recommended that the vaginal route should be employed in the repair of uncomplicated midvaginal fistula unless there are other compelling reasons to the contrary | ||
| 024 | 8 | |a ui_art_morhason-bello_uncomplicated_2008 | |
| 024 | 8 | |a Annals of Ibadan Postgraduate Medicine. 6(2), December, 2008. Pp. 39 - 43 | |
| 024 | 8 | |a http://ir.library.ui.edu.ng/handle/123456789/8239 | |
| 653 | |a Mid-vaginal vesico-vaginal fistula | ||
| 653 | |a Urinary incontinence | ||
| 653 | |a Vaginal/abdominal surgical methods | ||
| 653 | |a Nigeria | ||
| 245 | 0 | 0 | |a Uncomplicated midvaginal vesico-vaginal fistula repair in Ibadan: a comparison of the abdominal and vaginal routes |