Abstract：
:Obstetric fistula is the presence of a hole between a woman's genital tract and either the urinary or the intestinal tract. Better knowledge of the risk factors for obstetric fistula could help in preventing its occurrence. The purpose of this study was to assess the characteristics of obstetric fistula patients. We conducted a search of the literature to identify all relevant articles published during the period from 1987-2008. Among the 19 selected studies, 15 were reports from sub-Saharan Africa and 4 from the Middle East. Among the reported fistula cases, 79.4% to 100% were obstetrical while the remaining cases were from other causes. Rectovaginal fistulae accounted for 1% to 8%, vesicovaginal fistulae for 79% to 100% of cases, and combined vesicovaginal and rectovaginal fistulae were reported in 1% to 23% of cases. Teenagers accounted for 8.9% to 86% of the obstetrical fistulae patients at the time of treatment. Thirty-one to 67% of these women were primiparas. Among the obstetric fistula patients, 57.6% to 94.8% of women labor at home and are secondarily transferred to health facilities. Nine to 84% percent of these women delivered at home. Many of the fistula patients were shorter than 150 cm tall (40-79.4%). The mean duration of labor among the fistula patients ranged from 2.5 to 4 days. Twenty to 95.7% of patients labored for more than 24 h. Operative delivery was eventually performed in 11% to 60% of cases. Obstetric fistula was associated with several risk factors, and they appear to be preventable. This knowledge should be used in strengthening the preventive strategy both at the health facility and at the community level.
journal_name
Int Urogynecol Jjournal_title
International urogynecology journalauthors
Tebeu PM,Fomulu JN,Khaddaj S,de Bernis L,Delvaux T,Rochat CHdoi
10.1007/s00192-011-1622-xsubject
Has Abstractpub_date
2012-04-01 00:00:00pages
387-94issue
4eissn
0937-3462issn
1433-3023journal_volume
23pub_type
杂志文章,评审abstract：:In July of 2011 the U.S. Food and Drug Administration (FDA) released a safety communication entitled "UPDATE on Serious Complications Associated with Transvaginal Placement of Surgical Mesh for Pelvic Organ Prolapse." The stated purpose of this communication is to inform health care providers and patients that serious...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-011-1581-2
更新日期：2012-01-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:Hyperandrogenism in women with polycystic ovary syndrome (PCOS) could increase muscle mass and thereby pelvic floor muscle (PFM) strength, reducing the risk of urinary incontinence (UI). The aim of the present study was to assess PFM strength and UI among hyperandrogenic women with PCOS and ...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-013-2095-x
更新日期：2013-10-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:This time-series analysis was carried out to determine if the use of the EPISCISSORS-60®, episiotomy scissors specifically designed to achieve a cutting angle of 60°, would continue to sustain obstetric anal sphincter injuries (OASIS) reductions at our hospital 2 years after its introduction...
journal_title：International urogynecology journal
pub_type： 杂志文章,评审
doi：10.1007/s00192-019-04201-7
更新日期：2020-09-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:The aim of this study was to compare pelvic floor muscle strength (PFMS) and the prevalence of urinary incontinence (UI) and pelvic organ prolapse(POP) in women with and without diastasis recti abdominis (DRA) at 6-8 weeks postpartum. METHODS:Three hundred and ten women underwent routine ex...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-019-04005-9
更新日期：2020-02-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:despite claims of equivalence to the tension-free vaginal tape, a variety of suburethral slings have been introduced, with various modifications. Complications in certain synthetic slings and meshes have led to a recent FDA public health notification. METHODS:we report the case histories an...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-010-1244-8
更新日期：2011-01-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:The aim of the mediolateral episiotomy incision is to increase the diameter of the soft tissue of the vaginal outlet to facilitate birth and to prevent vaginal tears. Episiotomy angles that are too narrow and close to the midline increase the risk of obstetric anal sphincter injuries. In ord...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-017-3349-9
更新日期：2017-12-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:Posthysterectomy vaginal vault prolapse repair is a challenge for urogynecologists. Surgical management can be successful with native tissue by the vaginal approach with sacrospinous ligament fixation. However, severe complications have been described, including nerve injury and life-threate...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-016-3255-6
更新日期：2017-07-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:Entry into the peritoneal cavity can be challenging in patients with posthysterectomy prolapse; however, it is important for vaginal surgeons to be able to enter the peritoneal cavity using various techniques to perform an intraperitoneal vaginal vault suspension. METHODS:We present surgica...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-017-3267-x
更新日期：2017-08-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:The prevalence of levator avulsion after vaginal delivery ranges from 10 to 30 %. To our knowledge, no previous studies have used anorectal manometry (AM) to assess this injury's impact on the functionality of the anal sphincter complex. We hypothesized that women with levator avulsion have ...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-014-2623-3
更新日期：2015-07-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:We evaluated whether vaginal tampon training (VTT) combined with pelvic floor muscle training (PFMT) results in better outcomes than PFMT alone for treating stress urinary incontinence (SUI). METHODS:This was a randomized, controlled study. Patients were allocated to either the combined pro...
journal_title：International urogynecology journal
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00192-018-3585-7
更新日期：2019-02-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:Polypropylene is a base polymer used in biomaterial applications, including sutures and mesh products, for the treatment of pelvic organ prolapse, stress urinary incontinence, and hernia repairs. Previous studies have dismissed the value of formulation additives employed in polypropylene, an...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-016-3131-4
更新日期：2017-02-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:The purpose of this study is to determine the effect of silver coating of polypropylene implants on infection in hernia surgery. METHODS:Silver-coated and non-silver-coated large pore monofilament polypropylene mesh implants were compared with and without infection (four groups). The implan...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-010-1330-y
更新日期：2011-03-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:Older studies suggesting an association between detrusor overactivity and bacteriuria used an outdated microbiological threshold. We hypothesised that bacteriuria ≥10(3) CFU/ml would be more prevalent in women with urinary incontinence than continent controls. METHODS:A prospective, cross-s...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-011-1506-0
更新日期：2011-10-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:Robotic sacrocolpopexy is an effective and durable technique for pelvic organ prolapse repair. However, the learning curve for this procedure has underscored the need for an effective surgical training module. Given the cost, infection risk, poor tissue compliance, and scarcity of human cada...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-019-03936-7
更新日期：2019-08-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:Female sexual function disorders (FSFDs) have received less attention than male sexual function disorders, despite being more prevalent. Furthermore, most available literature is on the effect of vaginal delivery (VD) on sexual function, and studies on the effect of caesarean section (CS) ar...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-020-04541-9
更新日期：2020-10-10 00:00:00
abstract：INTRODUCTION AND HYPOTHESES:There is no consensus regarding pregnancy after mid-urethral sling (MUS) operation, and some clinicians recommend postponing the MUS operation if a woman considers further pregnancies or routinely suggest cesarean section as the delivery method after MUS operations. Our primary aim was to as...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-020-04497-w
更新日期：2021-01-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:The aim was to determine factors associated with performing concurrent apical support procedures in hysterectomies carried out for uterovaginal prolapse. METHODS:Hysterectomies performed for uterovaginal prolapse from 2000 to 2010 were identified by ICD-9 codes. Uterovaginal prolapse was a ...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-014-2474-y
更新日期：2015-02-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:The literature presents controversial results regarding the role of delivery mode in pelvic floor muscle (PFM) function after birth. Some studies showed a greater impairment of PFM function after vaginal delivery compared with cesarean section, while others have not identified a significant ...
journal_title：International urogynecology journal
pub_type： 杂志文章,评审
doi：10.1007/s00192-020-04231-6
更新日期：2020-08-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:The object of this review was to assess the efficacy and safety of urethral bulking agents (UBA), principally Macroplastique and Bulkamid, in the treatment of female stress urinary incontinence (SUI). METHODS:MEDLINE® and EMBASE® databases were systematically searched up to June 2016. Year ...
journal_title：International urogynecology journal
pub_type： 杂志文章,评审
doi：10.1007/s00192-017-3278-7
更新日期：2017-09-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:The objective was to measure the effects of peroxisome proliferator-activated receptor delta (PPAR-delta) agonist and zinc sulfate (ZS) on vaginal smooth muscle cell (SMC) proliferation, tropoelastin production, and collagen production. METHODS:SMC cultures were performed from vaginal wall ...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-012-1807-y
更新日期：2012-12-01 00:00:00
abstract：:Reports have shown that high-energy pelvic trauma might be associated with advanced pelvic organ prolapse in conjunction with other causes. We report the case of a 21-year-old nulliparous, premenopausal, non-overweight woman with no predisposing factors for prolapse who developed stage IV massive pelvic organ prolapse...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-010-1320-0
更新日期：2011-06-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:The objective was to compare the effect of antibiotics versus no antibiotics prophylaxis per-operatively on the frequency of urinary tract infection (UTI) following mid-urethral sling application to treat stress or mixed urinary incontinence. METHODS:This study was designed as a multicenter...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-019-04156-9
更新日期：2020-08-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:Obstetric fistula, caused by traumatic delivery and patient lack of access to obstetric care, is an important public health concern in developing countries, particularly in Sub-Saharan Africa. This research focuses on the experience of women living with obstetric fistula in Burkina Faso as w...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-016-3235-x
更新日期：2017-07-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:In the developed world, urethrovaginal fistulas are most the likely the result of iatrogenic injury. These fistulas are quite rare. Proper surgical repair requires careful dissection and tension-free closure. The objective of this video is to demonstrate the identification and surgical corre...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-016-3111-8
更新日期：2017-01-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:Circumferential vesicourethrovaginal fistula is a severe form of obstetric injury that is challenging to repair and carries a poor prognosis related to eventual continence. Here, we report the successful repair of a circumferential vesicovaginal fistula associated with near total loss of the...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-020-04398-y
更新日期：2020-06-23 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:Traditionally, surgical treatment for uterine prolapse has included hysterectomy. However, more patients now prefer a uterine-preserving operation because of concerns about fertility or sexual dysfunction. In this video, we describe a novel approach to correcting uterine prolapse in an attem...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-018-3780-6
更新日期：2019-04-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:Vaginal apical suspension is essential for the surgical treatment of pelvic organ prolapse (POP). We aim to evaluate whether the method of apical repair is associated with different re-operation rates for POP recurrence or surgical complications. METHODS:Population-based, retrospective coho...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-018-3792-2
更新日期：2019-04-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:Little data are available on the outcome of tension-free obturator tape (TVT-O) procedures in obese and overweight women. We hypothesized that the subjective and objective outcomes of TVT-O in women with a higher body mass index (BMI) would differ from those with a lower BMI. METHODS:We ret...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-010-1311-1
更新日期：2011-03-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:The objective was to assess the efficacy of intravesical hyaluronic acid (HA) and chondroitin sulfate (CS), alone or in combination, for recurrent urinary tract infections (RUTIs) in adult female patients using a systematic review and meta-analysis. METHODS:English-language articles were ob...
journal_title：International urogynecology journal
pub_type： 杂志文章,meta分析,评审
doi：10.1007/s00192-017-3508-z
更新日期：2018-07-01 00:00:00
abstract：INTRODUCTION:Vacuum-assisted vaginal delivery (VAVD) is considered a major risk factor for obstetric anal sphincter injuries (OASIS). However, it is difficult to estimate its true contribution to the occurrence of OASIS, as its performance may be confounded by other determinants. Therefore, we aimed to evaluate the ass...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-020-04534-8
更新日期：2020-09-30 00:00:00
