Risk Factors for Urinary Incontinence after Obstetric Vesicovaginal Fistula Closure in Guinea

Autor:	Abdoulaye Toure, Olivier Kouadio, Alhafiz Lamadine, Diao Cisse, Thierno Mamadou Oury Diallo, Abdoulaye Bobo Diallo, Fatoumata Binta Balde, Daouda Kante
Rok vydání:	2021
Předmět:	medicine.medical_specialty business.industry Incidence (epidemiology) Urinary incontinence Bladder capacity medicine.disease Vesicovaginal fistula Surgery Urethra medicine.anatomical_structure Cohort medicine Closure (psychology) medicine.symptom business
Zdroj:	Surgical Science. 12:1-8
ISSN:	2157-9415 2157-9407
DOI:	10.4236/ss.2021.121001
Popis:	Introduction: Urinary incontinence after closure of vesicovaginal fistula is any involuntary loss of urine that a patient complains of. We aim to study the risk factors for urinary incontinence after closure of obstetric vesicovaginal fistula in Guinea in order to develop preventive measures to reduce its incidence. Materials and Methods: This was a retrospective, multiple center cohort of women operated on for obstetric vesicovaginal fistula during a 10-year period. Results: In 1770 vesicovaginal fistulas operated, 1347 were closed. 180 women (13.36%) developed urinary incontinence. After multivariate analysis, the risk factors of urinary incontinence after closure of vesicovaginal fistula were: the patient’s age, the anatomical type III, iterative surgical intervention, the brevity of the urethra and decrease in bladder capacity. Conclusion: Urinary incontinence after closure of vesicovaginal fistula is a frequent problem in Guinea, the prevention of which should be integrated into the management of fistulas.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::0c8811b19f30d87c132cb144a2035cb1 https://doi.org/10.4236/ss.2021.121001 Zobrazit plný text záznamu