دورية أكاديمية
أعرض في EDS

Causes and management of urogenital fistulas. A retrospective cohort study from a tertiary referral center in Saudi Arabia.

التفاصيل البيبلوغرافية
العنوان: Causes and management of urogenital fistulas. A retrospective cohort study from a tertiary referral center in Saudi Arabia.
المؤلفون: Osman SA; Department of Urogynecology and Pelvic Reconstructive Surgery, Women's Specialized Hospital, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia. E-mail. somamohsin@hotmail.com., Al-Badr AH, Malabarey OT, Dawood AM, AlMosaieed BN, Rizk DEE
المصدر: Saudi medical journal [Saudi Med J] 2018 Apr; Vol. 39 (4), pp. 373-378.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Medical Services Department, Saudi Arabian Armed Forces, Ministry Of Defence And Aviation Country of Publication: Saudi Arabia NLM ID: 7909441 Publication Model: Print Cited Medium: Internet ISSN: 0379-5284 (Print) Linking ISSN: 03795284 NLM ISO Abbreviation: Saudi Med J Subsets: MEDLINE
أسماء مطبوعة: Publication: Riyadh : Medical Services Department, Saudi Arabian Armed Forces, Ministry Of Defence And Aviation
Original Publication: Riyadh, Saudi Arabia, Riyadh Al-Kharj Hospital Programme.
مواضيع طبية MeSH: Cesarean Section, Repeat/*adverse effects , Vesicovaginal Fistula/*etiology , Vesicovaginal Fistula/*surgery, Adolescent ; Adult ; Female ; Humans ; Hysterectomy/adverse effects ; Middle Aged ; Parity ; Postoperative Complications/etiology ; Retrospective Studies ; Young Adult
مستخلص: Objectives: To reviewe the etiology and management of urogenital fistulas at a tertiary care referral center.
Methods: We retrospectively identified all patients with urogenital fistula referred to the King Fahad Medical City, Riyadh, Saudi Arabia, between January 2005 and July 2016 from electronic records. We collected data on age, parity, etiology and type of fistula, radiologic findings, management, and outcome. Results: Of the 32 patients with urogenital fistula identified, 17 (53.1%) had vesicovaginal fistula. The mean parity was 5.9 (0-15). Obstetric surgery was the most common etiology, accounting for 22 fistulas (68.8%). Twenty of these (90.9%) were complications of cesarean delivery, of which 16 (80%) were repeat cesarean delivery. Forty surgical repair procedures were performed: 20 (50%) via an abdominal approach, 11 (27.5%) via a vaginal approach, 7 (17.5) via a robotic approach, and 2 (5%) using cystoscopic fulguration. The primary surgical repair was successful in 23 patients (74%), the second repair in 5 (16.1%), and the third repair in one (3.1%). One fistula was cured after bladder catheterization, and 2 patients are awaiting their third repair. Conclusion: Unlike the etiology of urogenital fistulas in other countries, most fistulas referred to our unit followed repeat cesarean delivery: none were caused by obstructed labor, and only a few occurred after hysterectomy. Most patients were cured after the primary surgical repair.
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تواريخ الأحداث: Date Created: 20180406 Date Completed: 20180928 Latest Revision: 20181114
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC5938651
DOI: 10.15537/smj.2018.4.21515
PMID: 29619489
قاعدة البيانات: MEDLINE
الوصف
تدمد:0379-5284
DOI:10.15537/smj.2018.4.21515