Determinants of postoperative outcomes of female genital fistula repair surgery.

Abstract:

OBJECTIVE:To determine predictors of fistula repair outcomes 3 months postsurgery. METHODS:We conducted a multicountry prospective cohort study between 2007 and 2010. Outcomes, measured 3 months postsurgery, included fistula closure and residual incontinence in women with a closed fistula. Potential predictors included patient and fistula characteristics and context of repair. Multivariable generalized estimating equation models were used to generate adjusted risk ratios (RRs) and 95% confidence intervals (CIs). RESULTS:Women who returned for follow-up 3-month postsurgery were included in predictors of closure analyses (n=1,274). Small bladder size (adjusted RR 1.57, 95% CI 1.39-1.79), prior repair (adjusted RR 1.40, 95% CI 1.11-1.76), severe vaginal scarring (adjusted RR 1.56, 95% CI 1.20-2.04), partial urethral involvement (adjusted RR 1.36, 95% CI 1.11-1.66), and complete urethral destruction or circumferential defect (adjusted RR 1.72, 95% CI 1.33-2.23) predicted failed fistula closure. Women with a closed fistula at 3-month follow-up were included in predictors of residual incontinence analyses (n=1,041). Prior repair (adjusted RR 1.37, 95% CI 1.13-1.65), severe vaginal scarring (adjusted RR 1.35, 95% CI 1.10-1.67), partial urethral involvement (adjusted RR 1.78, 95% CI 1.27-2.48), and complete urethral destruction or circumferential defect (adjusted RR 2.06, 95% CI 1.51-2.81) were significantly associated with residual incontinence. CONCLUSION:The prognosis for genital fistula closure is related to preoperative bladder size, previous repair, vaginal scarring, and urethral involvement.

journal_name

Obstet Gynecol

authors

Barone MA,Frajzyngier V,Ruminjo J,Asiimwe F,Barry TH,Bello A,Danladi D,Ganda SO,Idris S,Inoussa M,Lynch M,Mussell F,Podder DC

doi

10.1097/AOG.0b013e31826579e8

subject

Has Abstract

pub_date

2012-09-01 00:00:00

pages

524-31

issue

3

eissn

0029-7844

issn

1873-233X

pii

00006250-201209000-00005

journal_volume

120

pub_type

临床试验,杂志文章,多中心研究
  • A clinical and microbiologic analysis of risk factors for puerperal endometritis.

    abstract::Predictors of postpartum endometritis were identified in 607 asymptomatic, laboring women. One hundred (16.5%) developed postpartum endometritis. Multivariate analysis using stepwise logistic regression identified cesarean delivery (relative risk 12.8; P less than .0001) as the dominant overall predictor. In patients ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Newton ER,Prihoda TJ,Gibbs RS

    更新日期:1990-03-01 00:00:00

  • Cesarean: changing the trends.

    abstract::A rising cesarean birth rate, both nationally and at our institution, led us to attempt to reverse the trend. Vaginal birth after cesarean (VBAC) was introduced as an alternative to repeat cesarean in 1982. The impact of VBAC on the cesarean rate for our institution was assessed from 1982-1988. Over the period studied...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/00006250-199102000-00006

    authors: Pridjian G,Hibbard JU,Moawad AH

    更新日期:1991-02-01 00:00:00

  • United States Medical Licensure Examination step 1 scores and obstetrics-gynecology clerkship final examination.

    abstract:OBJECTIVE:To determine if scores from first attempts at the United States Medical Licensure Examination step 1 correlated with obstetrics-gynecology examination scores and identified students at risk of failure. METHODS:All students in obstetrics-gynecology clerkships at the University of Illinois at Chicago from July...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(99)00477-9

    authors: Myles TD

    更新日期:1999-12-01 00:00:00

  • Primary peritoneal cancer after bilateral salpingo-oophorectomy in two patients with Lynch syndrome.

    abstract:BACKGROUND:Women with Lynch syndrome or hereditary nonpolyposis colorectal carcinoma (HNPCC) have a 40-60% lifetime risk of endometrial cancer and a 7-12% lifetime risk of ovarian cancer. Risk-reducing surgery, including hysterectomy and bilateral salpingo-oophorectomy (BSO), is currently recommended once child bearing...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e3181b6f4f9

    authors: Schmeler KM,Daniels MS,Soliman PT,Broaddus RR,Deavers MT,Vu TM,Chang GJ,Lu KH

    更新日期:2010-02-01 00:00:00

  • The case-control study: a primer for the obstetrician-gynecologist.

    abstract::Case-control studies begin at the end. Two groups of patients, those with disease (cases) and those without (controls), are compared to determine the degree of exposure to a presumed risk factor. This research method is commonly used to study rare diseases or diseases that take years to develop. If a higher proportion...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:

    authors: Peipert JF,Grimes DA

    更新日期:1994-07-01 00:00:00

  • Fetal sex determination by ultrasound.

    abstract::Real time ultrasonographic examination of the fetal perineal area after 30 weeks of gestation can reveal the external genitalia of the male fetus. The absence of this finding indicates a female fetus. This assessment is possible in up to two-thirds of cases, being limited only by the fetal presentation, position, and ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Stocker J,Evens L

    更新日期:1977-10-01 00:00:00

  • Menstrual cyclicity after metformin therapy in polycystic ovary syndrome.

    abstract:OBJECTIVE:To assess the effect of insulin-lowering treatment on menstrual cyclicity in polycystic ovary syndrome (PCOS). METHODS:Forty oligoamenorrheic women with PCOS were recruited in a prospective clinical study to receive metformin for a minimum period of 6 months. Twenty-two women completed the study. Serum LH, F...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0029-7844(97)00296-2

    authors: Velázquez E,Acosta A,Mendoza SG

    更新日期:1997-09-01 00:00:00

  • Fetal acidemia associated with regional anesthesia for elective cesarean delivery.

    abstract:OBJECTIVE:To determine the prevalence, magnitude, and type of fetal acidemia associated with contemporary obstetric anesthetic techniques. METHODS:Umbilical artery blood gases were obtained in 1601 singleton pregnancies delivered by elective cesarean. RESULTS:General anesthesia was used in 371 (23%) women, epidural i...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0029-7844(94)p4401-9

    authors: Roberts SW,Leveno KJ,Sidawi JE,Lucas MJ,Kelly MA

    更新日期:1995-01-01 00:00:00

  • Detection of Chlamydia trachomatis infection by direct immunofluorescence staining of genital secretion.

    abstract::A monoclonal antibody specific for Chlamydia trachomatis (Syva Microtrak) was used to stain directly 249, 127, and 67 specimens obtained from the cervix, and the female and the male urethra, respectively. The Microtrak system identified 100% or 23 culture-positive cases from the cervix (prevalence 9.2), 100% or seven ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Wiesmeier E,Bruckner D,Black M

    更新日期:1987-03-01 00:00:00

  • Prevention of learning deficit in a Down syndrome model.

    abstract:OBJECTIVE:To evaluate whether peptides given to adult mice with Down syndrome prevent learning deficits, and to delineate the mechanisms behind the protective effect. METHODS:Ts65Dn mice were treated for 9 days with peptides D-NAPVSIPQ (NAP)+D-SALLRSIPA (SAL) or placebo, and wild-type animals were treated with placebo...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e3182051ca5

    authors: Incerti M,Toso L,Vink J,Roberson R,Nold C,Abebe D,Spong CY

    更新日期:2011-02-01 00:00:00

  • Pregnancy associated with renal glucosuria.

    abstract::On reviewing 17,647 pregnancies over a 6-year period, 291 of 17,229 singleton pregnancies were noted to be associated with renal glucosuria. On analyzing these 291 pregnancies in 277 women, renal glucosuria was more frequently observed in those women with blood group types A and B and less in those with blood group ty...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Chen WW,Sese L,Tantakasen P,Tricomi V

    更新日期:1976-01-01 00:00:00

  • Pulmonary edema following ritodrine-saline infusion in premature labor.

    abstract::Twenty-three patients with premature uterine contractions occurring between the 27th and 35th weeks of pregnancy were treated in a prospective and randomized study with intravenous ritodrine in a 0.1 wt/vol% solution of isotonic saline (N = 12) or isotonic glucose (N = 11). The aim of the study was to record the effec...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Philipsen T,Eriksen PS,Lynggård F

    更新日期:1981-09-01 00:00:00

  • Ectopic pancreas in the fallopian tube. Report of a first case.

    abstract::A case of ectopic pancreas in the fallopian tube is reported. This small, polypoid, benign tumor was in a fallopian tube contralateral to a ruptured tubal pregnancy. The patient had a tubal ligation performed six years previously. To the best of our knowledge this is the first reported case of isolated ectopic pancrea...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Mason TE,Quagliarello JR

    更新日期:1976-07-01 00:00:00

  • Prevention of neonatal group B streptococcal disease: intrapartum detection and chemoprophylaxis of heavily colonized parturients.

    abstract::Parturients with heavy vaginal colonization of group B streptococci were selected randomly to receive either penicillin or no antibiotic. A simple and fast latex agglutination test, applied in 8977 consecutive parturients, detected 412 women with heavy colonization with group B streptococcus, 199 of whom were eligible...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Tuppurainen N,Hallman M

    更新日期:1989-04-01 00:00:00

  • Abnormalities of lymphocyte transformations in women with intraepithelial carcinoma of the vulva.

    abstract::Cellular immunity of the delayed type in women with intraepithelial carcinoma (carcinoma is situ) of the vulva was investigated by an in vitro assay of mitogen-induced lymphocyte transformations. Test results from 9 patients were compared to those of 23 age-matched control subjects. Lymphocyte transformation responses...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Seski JC,Reinhalter ER,Silva J Jr

    更新日期:1978-09-01 00:00:00

  • Reducing postpartum depressive symptoms among black and Latina mothers: a randomized controlled trial.

    abstract:OBJECTIVE:To estimate the effectiveness of a behavioral educational intervention to reduce postpartum depressive symptoms among minority mothers. METHODS:We recruited 540 self-identified black and Latina mothers during their postpartum hospital stay and randomized them to receive a behavioral educational intervention ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/AOG.0b013e318250ba48

    authors: Howell EA,Balbierz A,Wang J,Parides M,Zlotnick C,Leventhal H

    更新日期:2012-05-01 00:00:00

  • Use of the progestogen challenge test to reduce the risk of endometrial cancer.

    abstract::In contrast to several retrospective studies reporting an increased risk of endometrial cancer during the mid-1970s, especially in estrogens.gen-treated postmenopausal women, the number of cancers at Wilford Hall USAF Medical Center has steadily declined despite continued estrogen use. In a 4-year study from 1975 to 1...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Gambrell RD Jr,Massey FM,Castaneda TA,Ugenas AJ,Ricci CA,Wright JM

    更新日期:1980-06-01 00:00:00

  • Uterine rupture occurring during midtrimester abortion.

    abstract::Uterine rupture is an uncommon complication of midtrimester abortion, occurring more frequently in the older multiparous patient and with the use of high doses of oxytocic agents. The clinical presentation may vary from an unexplained drop in the hematocrit or persistent abdominal pain to profound shock and maternal d...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Graham D

    更新日期:1982-06-01 00:00:00

  • Contraction stress test by intermittent nipple stimulation.

    abstract::Although the nonstress test has generally supplanted the contraction stress test as the primary test for assessment of fetal well-being, the contraction stress test continues to be useful. Objectionable factors of the contraction stress test have included the time required to complete the test and the frequent necessi...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Huddleston JF,Sutliff G,Robinson D

    更新日期:1984-05-01 00:00:00

  • Enhancing Participation in Depression Care in Outpatient Perinatal Care Settings: A Systematic Review.

    abstract:OBJECTIVE:To examine a wide range of study designs and outcomes to estimate the extent to which interventions in outpatient perinatal care settings are associated with an increase in the uptake of depression care. DATA SOURCES:PubMed, CINAHL, PsycINFO, ClinicalTrials.gov, and Scopus (EMBASE) were searched for studies ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/AOG.0000000000001067

    authors: Byatt N,Levin LL,Ziedonis D,Moore Simas TA,Allison J

    更新日期:2015-11-01 00:00:00

  • Ultrasonic assessment of fetal response to second-trimester amniocentesis.

    abstract::Twenty-three patients undergoing second-trimester amniocentesis were ultrasonically monitored for 30 minutes before and 30 minutes after the amniocentesis. Fetal movements were recorded as movements of limbs, trunk, or combined limb-trunk movements. Fetal heart rates were determined at ten-minute intervals before and ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Gianopoulos J,Elias SS,Simpson JL,Tamura R

    更新日期:1986-03-01 00:00:00

  • Development of a multiple marker test for ectopic pregnancy.

    abstract:OBJECTIVE:Many serum markers have been proposed to aid in the identification of an ectopic pregnancy, but few have been validated. Most studies have been limited by sample size and design. The goal of this study was to assess putative markers to identify which can be optimally combined. METHODS:We conducted a case-con...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章

    doi:10.1097/AOG.0b013e31820b3c61

    authors: Rausch ME,Sammel MD,Takacs P,Chung K,Shaunik A,Barnhart KT

    更新日期:2011-03-01 00:00:00

  • Management of congenital venous malformations of the vulva.

    abstract:OBJECTIVE:To discuss the differential diagnosis and the management of venous malformations of the vulva. METHODS:Five symptomatic patients were treated. The degree of pain and discomfort was self-assessed by using a horizontal visual analog scale before and after treatment. Preoperative evaluation included Doppler ult...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Marrocco-Trischitta MM,Nicodemi EM,Nater C,Stillo F

    更新日期:2001-11-01 00:00:00

  • Repair techniques for obstetric anal sphincter injuries: a randomized controlled trial.

    abstract:OBJECTIVE:To compare one-year outcomes of primary overlap versus end-to-end repair of the external anal sphincter after acute obstetric anal sphincter injury. METHODS:Women who sustained third-degree (3b = greater than 50% external anal sphincter thickness, 3c = internal sphincter injury) or fourth-degree (including a...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/01.AOG.0000218693.24144.bd

    authors: Fernando RJ,Sultan AH,Kettle C,Radley S,Jones P,O'Brien PM

    更新日期:2006-06-01 00:00:00

  • Prevention of postoperative adhesions in the rat by in situ photopolymerization of bioresorbable hydrogel barriers.

    abstract:OBJECTIVE:To assess the efficacy of a novel resorbable hydrogel barrier for preventing postoperative adhesions in animals. METHODS:A hydrogel barrier was formed in situ by photopolymerizing a solution of a macromolecular prepolymer in buffered saline using long-wavelength ultraviolet light. Two models in the rat were ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Hill-West JL,Chowdhury SM,Sawhney AS,Pathak CP,Dunn RC,Hubbell JA

    更新日期:1994-01-01 00:00:00

  • A fetal sacrococcygeal tumor obstructing labor after attempted home confinement.

    abstract::Obstructed labor due to a large sacrococcygeal tumor is reported. A technique of transabdominal intrauterine reduction in the size of the tumor to allow delivery of the infant in satisfactory condition is described. The method and the successful outcome have not previously been reported. It is recommended as a combine...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Edwards WR

    更新日期:1983-03-01 00:00:00

  • Breast carcinoma in young women.

    abstract:OBJECTIVE:To estimate the incidence of breast carcinoma and survival in patients younger than 25 years old, and to describe presenting clinical signs and symptoms of breast cancer in this age group. METHODS:A population-based descriptive study and case review in Olmsted County, Minnesota, was conducted using the resou...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e31822a69db

    authors: Simmons PS,Jayasinghe YL,Wold LE,Melton LJ 3rd

    更新日期:2011-09-01 00:00:00

  • Factors associated with worsening and improving urinary incontinence across the menopausal transition.

    abstract:OBJECTIVE:To evaluate whether the menopausal transition is associated with worsening of urinary incontinence symptoms over 6 years in midlife women. METHODS:We analyzed data from 2,415 women who reported monthly or more incontinence in self-administered questionnaires at baseline and during the first six annual follow...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e31816386ce

    authors: Waetjen LE,Feng WY,Ye J,Johnson WO,Greendale GA,Sampselle CM,Sternfield B,Harlow SD,Gold EB,Study of Women's Health Across the Nation (SWAN).

    更新日期:2008-03-01 00:00:00

  • A comparison of the cough stress test and single-channel cystometry with multichannel urodynamic evaluation in genuine stress incontinence.

    abstract:OBJECTIVE:To assess the predictability and accuracy of a simplified approach--the cough stress test and single-channel cystometry--in the diagnosis of genuine stress incontinence (GSI) by comparing these tests to the more complex multichannel cough urethral pressure profile and urethrocystometry. Conversely, we assesse...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Scotti RJ,Myers DL

    更新日期:1993-03-01 00:00:00

  • A method of Pomeroy tubal ligation reanastomosis.

    abstract::A method of reanastomosis of the uterine tube after Pomeroy tubal ligation is presented. The pregnancy rate was 69%. The viable birth rate was 38%, with 1 ectopic pregnancy, 2 patients pregnant, and 1 patient lost to followup at the time of this report. ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: McCormick W,Torres J

    更新日期:1976-05-01 00:00:00