Genitourinary Fistula: 5 Years' Experience of Five Referral Centers in Iran.

Autor: Sharifiaghdas F; Department of Urology, Shahid Labbafinejad Medical Center, Urology and Nephrology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Emami M; Department of Urology, Iran University of Medical Sciences, Tehran, Iran., Zargham M; Department of Urology, Isfahan University of Medical Sciences, Isfahan, Iran., Daneshpajooh A; Department of Urology, Shahid Bahonar Hospital, Kerman University of Medical Sciences, Kerman, Iran., Jahantabi E; Department of Urology, Tabriz University of Medical Sciences, Tabriz, Iran., Sharifimoghadam S; Department of Urology, Tabriz University of Medical Sciences, Tabriz, Iran., Mostafaei H; Department of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria., Salehi-Pourmehr H; Research Center for Evidence-Based Medicine, Iranian EBM Centre: A JBI Centre of Excellence, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.; Medical Philosophy and History Research Center, Tabriz University of Medical Sciences, Tabriz, Iran., Hajebrahimi S; Department of Urology, Tabriz University of Medical Sciences, Tabriz, Iran. Hajebrahimis@gmail.com.; Research Center for Evidence-Based Medicine, Iranian EBM Centre: A JBI Centre of Excellence, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran. Hajebrahimis@gmail.com.; Medical Philosophy and History Research Center, Tabriz University of Medical Sciences, Tabriz, Iran. Hajebrahimis@gmail.com.; Department of Urology, Research Center for Evidence-Based Medicine, Tabriz University of Medical Sciences, Imam Reza Teaching Hospital, Attar-E-Neishabouri Sqr., Tabriz, 51666, Iran. Hajebrahimis@gmail.com.
Jazyk: angličtina
Zdroj: International urogynecology journal [Int Urogynecol J] 2024 Apr; Vol. 35 (4), pp. 893-900. Date of Electronic Publication: 2024 Mar 21.
DOI: 10.1007/s00192-024-05761-z
Abstrakt: Introduction and Hypothesis: Genitourinary fistula is a devastating ailment that has an impact on women's physical health, mental health, emotional health, and financial security. The management of genitourinary fistula depends on the type, size, and duration of fistula formation. The purpose of this study is to report the features of genitourinary fistula in Iranian women and our experience in the management of fistula.
Methods: Retrospective chart reviews of 283 patients were performed to determine the cause of the fistula, prior repairs, tissue interposition, and the success rate. The operation was considered successful if the patient did not have any urine leakage during the observation time.
Results: The mean (SD) age of women was 49.51 (19.39; range: 21-70) years, Of these, 137 (52.9%) had a history of previous genitourinary fistula surgery. The average fistula was 1.53 (0.041) cm in size. The median (interquartile range) operation lasted 70 (15) min. The success rate after fistula repair was 91.5%. The typical follow-up period lasted 13.26 (range: 1-88) months. Forty-three (15.2%) patients had a big fistula (>2.5 cm) and 4 patients (1.4%) had a history of pelvic radiation therapy, among other reasons for failure. After a second repair, all patients' initial failures were resolved. There were no significant complications, as classified by Clavien-Dindo class 2 or greater. Additionally, there were no bowel, ureteral, or nerve injuries.
Conclusions: Our patients with genitourinary fistula had a successful outcome following repair techniques, without any significant morbidity or mortality.
(© 2024. The International Urogynecological Association.)
Databáze: MEDLINE
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