Int Urogynecol J (2018) 29:383–389 DOI 10.1007/s00192-017-3396-2 ORIGINAL ARTICLE Genital tract fistula: a case series from a tertiary centre in South Africa 1,2 3 4 Thinagrin Dhasarathun Naidoo & Jagidesa Moodley & Saloshni Naidoo Received: 2 March 2017 /Accepted: 3 June 2017 /Published online: 10 July 2017 The International Urogynecological Association 2017 Abstract Repair had been attempted previously in 43.7% of patients. Introduction and hypothesis We describe the demographic In 63.2% of the repairs the approach was vaginal and in 35.6% profile, aetiology, management and surgical outcomes in abdominal. Interposition grafts were used in 23% of repairs. In women with genital tract fistula presenting to a tertiary 85.1% of patients the initial repair at our centre was success- urogynaecology unit. ful. Patients with multiple repairs were more likely to have Methods This retrospective audit included 87 patients man- complications (p = 0.03). HIV infection was not significantly aged in our unit between 2008 and 2015. Frequencies and associated with complications. means with standard deviations are presented for categorical Conclusions A high rate of successful repair was found, with and continuous data. Continuous dependent variables are cat- previous unsuccessful repairs associated with poorer out- egorized as above or below the
International Urogynecology Journal – Springer Journals
Published: Jul 10, 2017
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