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

dc.authorscopusid6601986149
dc.authorscopusid22950135700
dc.authorscopusid36101555700
dc.authorscopusid36101161900
dc.authorscopusid36101770500
dc.authorscopusid24075279000
dc.authorwosidCam, Cetin/AAA-8824-2022
dc.contributor.authorKarateke, Ateş
dc.contributor.authorCam, Çetin
dc.contributor.authorÖzdemir, Arman
dc.contributor.authorGuney, Buhara
dc.contributor.authorVatansever, Doğan
dc.contributor.authorÇelik, Cem
dc.date.accessioned2022-05-11T14:35:49Z
dc.date.available2022-05-11T14:35:49Z
dc.date.issued2010
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kadın Hastalıkları ve Doğum Ana Bilim Dalı
dc.description.abstractIntroduction: 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.
dc.identifier.doi10.5114/aoms.2010.13904
dc.identifier.endpage256
dc.identifier.issn1734-1922
dc.identifier.issue2en_US
dc.identifier.pmid22371755
dc.identifier.scopus2-s2.0-77951952710
dc.identifier.scopusqualityQ2
dc.identifier.startpage253
dc.identifier.urihttps://doi.org/10.5114/aoms.2010.13904
dc.identifier.urihttps://hdl.handle.net/20.500.11776/8242
dc.identifier.volume6
dc.identifier.wosWOS:000279340800018
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorÇelik, Cem
dc.language.isoen
dc.publisherTermedia Publishing House Ltd
dc.relation.ispartofArchives of Medical Science
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectobstetric fistula
dc.subjectclassification system
dc.subjectsurgical outcome
dc.subjectVesicovaginal Fistulas
dc.subjectVesicuvaginal Fistulas
dc.titleCharacteristics of obstetric fistulas and the need for a prognostic classification system
dc.typeArticle

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