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Characteristics of obstetric fistulas and the need for a prognostic classification system

INTRODUCTION: To evaluate the need for a prognostic classification system for obstetric fistula (OF) with the data obtained by a voluntarily action for OF repair in a regional hospital and Niger, Africa. MATERIAL AND METHODS: Obstetric fistula (OF) characteristics of 51 women with vesicovaginal fist...

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Autores principales: Karateke, Ates, Cam, Cetin, Ozdemir, Arman, Guney, Buhara, Vatansever, Dogan, Celik, Cem
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Termedia Publishing House 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3281348/
https://www.ncbi.nlm.nih.gov/pubmed/22371755
http://dx.doi.org/10.5114/aoms.2010.13904
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author Karateke, Ates
Cam, Cetin
Ozdemir, Arman
Guney, Buhara
Vatansever, Dogan
Celik, Cem
author_facet Karateke, Ates
Cam, Cetin
Ozdemir, Arman
Guney, Buhara
Vatansever, Dogan
Celik, Cem
author_sort Karateke, Ates
collection PubMed
description INTRODUCTION: To evaluate the need for a prognostic classification system for obstetric fistula (OF) with the data obtained by a voluntarily action for OF repair in a regional hospital and Niger, Africa. MATERIAL AND METHODS: Obstetric fistula (OF) characteristics of 51 women with vesicovaginal fistula in a fistula campaign in Maradi Regional Hospital, Niger were evaluated. Initial basic gynecological examination, methylene blue (MBT) test and direct cystoscopy were used to describe the characteristics of the lesions. Demographic and clinical data were compared with the existing literature. RESULTS: In 31 (60%) cases were the sizes of the fistula greater than 4 cm. The urethra was circumferentially lost in 8 (15.7%) women. In 18 (35.3%) women the trigone was involved. Extensive fibrosis was present in 10 (19.6%) patients. Only in 11 (21.6%) patients without any obliterating scarring, neither the trigone nor urethra were damaged. Five (9.8%) patients had severe infection. Five (9.8%) had multiple lesions. Thirty-four (66.6%) had a history of at least one previous attempt for fistula repair. A significant proportion of women were divorced or abandoned from their husband, and socially isolated. CONCLUSIONS: A simple, reproducible and universally accepted scientific classification or staging system for OF dealing with outcomes rather than anatomic landmarks should replace the present proposed classification systems for prognostic and ethical purposes.
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spelling pubmed-32813482012-02-27 Characteristics of obstetric fistulas and the need for a prognostic classification system Karateke, Ates Cam, Cetin Ozdemir, Arman Guney, Buhara Vatansever, Dogan Celik, Cem Arch Med Sci Original Research INTRODUCTION: To evaluate the need for a prognostic classification system for obstetric fistula (OF) with the data obtained by a voluntarily action for OF repair in a regional hospital and Niger, Africa. MATERIAL AND METHODS: Obstetric fistula (OF) characteristics of 51 women with vesicovaginal fistula in a fistula campaign in Maradi Regional Hospital, Niger were evaluated. Initial basic gynecological examination, methylene blue (MBT) test and direct cystoscopy were used to describe the characteristics of the lesions. Demographic and clinical data were compared with the existing literature. RESULTS: In 31 (60%) cases were the sizes of the fistula greater than 4 cm. The urethra was circumferentially lost in 8 (15.7%) women. In 18 (35.3%) women the trigone was involved. Extensive fibrosis was present in 10 (19.6%) patients. Only in 11 (21.6%) patients without any obliterating scarring, neither the trigone nor urethra were damaged. Five (9.8%) patients had severe infection. Five (9.8%) had multiple lesions. Thirty-four (66.6%) had a history of at least one previous attempt for fistula repair. A significant proportion of women were divorced or abandoned from their husband, and socially isolated. CONCLUSIONS: A simple, reproducible and universally accepted scientific classification or staging system for OF dealing with outcomes rather than anatomic landmarks should replace the present proposed classification systems for prognostic and ethical purposes. Termedia Publishing House 2010-04-30 2010-04-30 /pmc/articles/PMC3281348/ /pubmed/22371755 http://dx.doi.org/10.5114/aoms.2010.13904 Text en Copyright © 2010 Termedia & Banach http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial 3.0 Unported License, permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Research
Karateke, Ates
Cam, Cetin
Ozdemir, Arman
Guney, Buhara
Vatansever, Dogan
Celik, Cem
Characteristics of obstetric fistulas and the need for a prognostic classification system
title Characteristics of obstetric fistulas and the need for a prognostic classification system
title_full Characteristics of obstetric fistulas and the need for a prognostic classification system
title_fullStr Characteristics of obstetric fistulas and the need for a prognostic classification system
title_full_unstemmed Characteristics of obstetric fistulas and the need for a prognostic classification system
title_short Characteristics of obstetric fistulas and the need for a prognostic classification system
title_sort characteristics of obstetric fistulas and the need for a prognostic classification system
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3281348/
https://www.ncbi.nlm.nih.gov/pubmed/22371755
http://dx.doi.org/10.5114/aoms.2010.13904
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