Int Urogynecol J (2018) 29:345–351 DOI 10.1007/s00192-017-3375-7 ORIGINAL ARTICLE Obstetric fistula in Niger: 6-month postoperative follow-up of 384 patients from the Danja Fistula Center 1,2 2 2,3 4 Itengre Ouedraogo & Christopher Payne & Rahel Nardos & Avril J. Adelman & 2,5,6 L. Lewis Wall Received: 22 March 2016 /Accepted: 28 July 2016 /Published online: 9 June 2017 The Author(s) 2017. This article is an open access publication Abstract delivery (56.5%). Prior fistula surgery elsewhere (average Introduction and hypothesis The impoverished West African 1.75 operations) was common. The overall surgical success country of Niger has high rates of obstetric fistula. We report a (Bclosed and dry^) was 54%. When the 134 primary opera- 6-month postoperative follow-up of 384 patients from the tions were analyzed separately, the overall success rate was Danja Fistula Center and assess factors associated with oper- 80%. Increasing success was seen with decreasing surgical ative success or failure. difficulty: 92% success for Beasy^ cases, 68% for Methods The medical records of 384 women who had com- Bintermediate^ cases, and 57% success for Bdifficult^ cases. pleted a 6-month follow-up after fistula surgery were Success decreased with increasing numbers of previous at- reviewed. Cases were categorized as Beasy,^
International Urogynecology Journal – Springer Journals
Published: Jun 9, 2017
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