Duration of bladder catheterization after surgery for obstetric fistula

Rahel Nardos, Andrew Browning, Birhanu Member

Research output: Contribution to journalArticle

22 Scopus citations

Abstract

Objective: To compare the surgical outcome at discharge and at 6-months follow up in patients who underwent repair of obstetric fistulae with postoperative bladder catheterization for 10, 12, or 14 days. Methods: A retrospective study of 212 obstetric fistula patients who underwent repair with postoperative bladder catheterization for 10 days (group 1), 12 days (group 2), and 14 days (group 3) at the Bahir Dar Hamlin Fistula Center in Ethiopia. Fistulas were classified according to Goh's system. Results: There were 68 women (32%) in group 1, 62 women (29%) in group 2, and 82 women (39%) in group 3. There was a significant difference in the extent of urethral involvement, fistula size, and degree of vaginal scarring among the 3 groups, with the more extensively damaged patients catheterized for longer. Breakdown of repair was seen in 1.5% of patients in group 1, none in group 2, and 2% in group 3 (P = 0.47). Conclusion: Postoperative catheterization for 10 days may be sufficient for management of less complicated obstetric vesicovaginal fistulae.

Original languageEnglish (US)
Pages (from-to)30-32
Number of pages3
JournalInternational Journal of Gynecology and Obstetrics
Volume103
Issue number1
DOIs
StatePublished - Oct 2008

Keywords

  • Bladder catheterization
  • Ethiopia
  • Obstetric fistula
  • Repair

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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