Urogenital fistulae in India: results of a retrospective analysis
| Autor: | Shanmugasundaram R, Kekre Ns, Venkatramani |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent Urinary Fistula Urology medicine.medical_treatment Fistula Population India Hysterectomy Uterine Cervical Diseases Young Adult medicine Humans Laparoscopy education Aged Retrospective Studies education.field_of_study medicine.diagnostic_test Vesicovaginal Fistula business.industry Genitourinary system General surgery Obstetrics and Gynecology Retrospective cohort study Middle Aged medicine.disease Surgery Endoscopy Treatment Outcome Etiology Female business |
| Zdroj: | Female pelvic medicinereconstructive surgery. 20(1) |
| ISSN: | 2154-4212 |
| Popis: | Objective: To review our experience with urogenital fistulae with respect to etiology and management. Design: Retrospective analysis of electronic records from January 2004 to June 2011. Methods: A retrospective analysis of electronic records of all urogenital fistulae presenting to our institution from January 2004 to June 2011 was undertaken. Etiology presentation management and outcome of these cases were noted and analyzed. Results: A total of 210 cases were identified with vesicovaginal fistulae being the most common. The etiology was predominantly gynecological (58.6%) with laparoscopic assisted hysterectomy seeming to play an increasingly important role. Success rates of more than 90% were achieved in all cases even in complex fistulae. No factors predicting successful repair were identified. Laparoscopic repair was successful in well-selected cases. Conclusions: The etiology of urogenital fistulae in India seems to be changing to one in line with developed countries. High success rates are possible even in complex cases. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|