Jurnal Urologi Universitas Airlangga
ISSN 23026480
Vol. 3 / No. 1 / Published : 2015-01
Order : 2, and page :11 - 20
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Original Article :
Are age, etiology and approach to be predicting factor to successful of female urogenital fistula repair?
Author :
- Septa Surya Wahyudi*1
- Prof.Dr.dr. Soetojo, SpU-K*2
- Mahasiswa Fakultas Kedokteran
- Dosen Fakultas Kedokteran
Abstract :
Introduction: Urogenital fistula is one of the most devastating complications for females in obstetric and surgical procedures.It is still frequent problem in the developing countries. Many factors influencefor prognosis of successful repair fistula. Purpose:to evaluate the relationship of age group, etiology and approach of repair fistula to female urogenital fistula recurrence Material and Methods:analytical descriptive retrospective study, evaluate data of urogenital fistula patient in Dr. Soetomo Hospital Surabaya since 2007, July until 2012, June. The data were from medical record. Analyzing relation between variables is tested by Chi Square using NCSS 2004 – PASS 2005 software. Results :In 25 urogenital fistula patients were consist of 18 vesicovaginal fistula patients (72%), threeureterovaginal fistula patients (12%), two rectovesicovaginal fistula patients (8%), one urethrovaginal fistula patient (4%), and one ureterouterina fistula patient (4%). Range of age was 5 – 67 years old. The most common age group was 15-49 years old; there were 18 patients (72%). The most common etiology of urogenital fistula in Dr. Soetomo Hospital was obstetric case, 15 patients (60%) consist of 11 post SC patients (44%) and four obstructed labour patients (16%). The most common type of approach repair fistula was transabdominal approach (20 patients/ 80%). 14 vesicovaginal fistula patients (56%) were repaired transabdominal and four other patientstransvaginal (16%). Statistical analyzed of age, etiology, and approach repair to urogenital recurrence fistulap value were: 0,228; 0,017; 0,888 (significant p<0, 05). Conclusion:Vesicovaginal fistula is the most common urogenital fistulain our region. Obstetric cases are the leading cause of its development. Success rate repair without recurrence fistula was 72%. Etiology of fistula hassignificant relationship to recurrence of female urogenital fistula after primary repair.
Keyword :
Urogenital fistula, repair, approach, recurrence, no data,
References :
Rovner S.E. ,(2012) Urinary Tract Fistula chap 77.p. 2224 – 2252 : Campbell’s Urology
Abouzahr C, Wardlaw T. ,(2004) Obstetric Fistula, ending the silence, easing the suffering volume 2 : John Hopkins School of Public Health
Wall. L.L. ,(2006) The obstetric vesicovaginal Fistula in the Developing World Ch.22, p.1403 -27 : no data
A Singh Onkar,(2010) Urogenital Fistulas in Women5-year Experience at a Single Center Vol 7 No 1 : Urology Journal
Santosh Kumar, Nitin S.K, Ganesh G.,(2007) Vesicovaginalfistula p.187-191 : Indian journal Urology
Matthew P. Rutnam. ,(2007) Evaluation and Management of vesicovaginal fistulas p. 309-326 : Female Urology a practical clinical guide
Drutz P.H, Baker K.R and Kobashi K.C, Leach G.E. ,(2003) vesicovaginal Fistula and Ureterovaginal Fistula p.465-79 : Female Pelvic Medicine and Recontructive Pelvic Surgery
Bajri L, S Ymeri. ,(2009) S126 Our experience in treating 27 genito-urinary fistulas during 2002
Archive Article
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 Volume : 3 / No. : 1 / Pub. : 2015-01 |
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