Urogenital Fistulae

2020 ◽  
pp. 965-974
Author(s):  
Andrew Browning
Keyword(s):  

2014 ◽  
Vol 24 (13) ◽  
pp. 876 ◽  
Author(s):  
A. Tembely ◽  
A. Diarra ◽  
H. Berthé
Keyword(s):  




Author(s):  
Andrew Browning
Keyword(s):  


2016 ◽  
Vol 70 (3) ◽  
pp. 478-492 ◽  
Author(s):  
Christopher J. Hillary ◽  
Nadir I. Osman ◽  
Paul Hilton ◽  
Christopher R. Chapple


2014 ◽  
Vol 10 (4) ◽  
pp. 180 ◽  
Author(s):  
Sumit Sharma ◽  
SyedJamal Rizvi ◽  
SanthoshShivanandaiah Bethur ◽  
Jyoti Bansal ◽  
Syed Qadri ◽  
...  


2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Lauren Jennings ◽  
Asha S. George ◽  
Tanya Jacobs ◽  
Karl Blanchet ◽  
Neha S. Singh

Abstract Background Young people including adolescents face barriers to healthcare and increased risk of poor sexual and reproductive health (SRH), which are exacerbated in humanitarian settings. Our systematic review assessed the evidence on SRH interventions for young people including adolescents in humanitarian settings, strategies to increase their utilisation and their effects on health outcomes. Methods We searched peer-reviewed and grey literature published between 1980 and 2018 using search terms for adolescents, young people, humanitarian crises in low- and middle- income countries and SRH in four databases and relevant websites. We analysed literature matching pre-defined inclusion criteria using narrative synthesis methodology, and appraised for study quality. Findings We found nine peer-reviewed and five grey literature articles, the majority published post-2012 and mostly high- or medium-quality, focusing on prevention of unintended pregnancies, HIV/STIs, maternal and newborn health, and prevention of sexual and gender-based violence. We found no studies on prevention of mother-to-child transmission (PMTCT), safe abortion, post-abortion care, urogenital fistulae or female genital mutilation (FGM). Thirteen studies reported positive effects on outcomes (majority were positive changes in knowledge and attitudes), seven studies reported no effects in some SRH outcomes measured, and one study reported a decrease in number of new and repeat FP clients. Strategies to increase intervention utilisation by young people include adolescent-friendly spaces, peer workers, school-based activities, and involving young people. Discussion Young people, including adolescents, continue to be a neglected group in humanitarian settings. While we found evidence that some SRH interventions for young people are being implemented, there are insufficient details of specific intervention components and outcome measurements to adequately map these interventions. Efforts to address this key population’s SRH needs and evaluate effective implementation modalities require urgent attention. Specifically, greater quantity and quality of evidence on programmatic implementation of these interventions are needed, especially for comprehensive abortion care, PMTCT, urogenital fistulae, FGM, and for LGBTQI populations and persons with disabilities. If embedded within a broader SRH programme, implementers and/or researchers should include young people-specific strategies, targeted at both girls/women and boys/men where appropriate, and collect age- and sex-disaggregated data to help ascertain if this population’s diverse needs are being addressed.





2014 ◽  
Vol 9 (1) ◽  
pp. 17-20
Author(s):  
HK Pradhan ◽  
G Dhangal ◽  
A Karki ◽  
R Shrestha ◽  
K Bhattachan

 Aim: The study was done to review the demography of urogenital fistulae including obstetric fistula (OF) and its surgical outcome in the early phase of fistula surgery and to create awareness about OF. Methods: This was a retrospective study of 47 patients who underwent fistula surgery during the period of January 2012 to May 2014 in Kathmandu Model Hospital, Helping Hand Community Hospital, Camp in Mid-wetern Regional Hospital Surkhet and Hamlin Hospital, Ethiopia. The primary outcome was in terms of urinary continence after 14 days of repair. Results: In the study 70% (n=33) of fistula were due to obstructed labour and 30% (n=14) were due to hysterectomy for gynecological indications. Ninety six percent (n=45) had successful closure of fistula. Seventy seven percent (n=36) were continent after surgery, and 17% (n=8) had some stress incontinence. Conclusions: The study showed obstructed labour was the major cause of OF, however iatrogenic fistula was also becoming common. The success of repair depended on the type, site, size of fistula and urethral length. Majority of our cases had successful closure of fistula with some degree of stress in some patients. DOI: http://dx.doi.org/10.3126/njog.v9i1.11181 NJOG 2014 Jan-Jun; 2(1):17-20



2014 ◽  
Vol 20 (1) ◽  
pp. 14-18 ◽  
Author(s):  
Vivek Venkatramani ◽  
Rajaian Shanmugasundaram ◽  
Nitin Sudhakar Kekre
Keyword(s):  


2020 ◽  
Vol 21 (2) ◽  
pp. 71-75
Author(s):  
Md S Islam ◽  
Md Zaman Masud

Aim: This retrospective study was carried out in Jessore Medical College Hospital and Jhenidah District Hospital on different types of female urogenital fistulae to evaluate its aetiological aspect in the present health care scenario of the country. Materials and Methods: Female patients presenting with features of urogenital fistula were evaluated properly and operated through intra-abdominal and vaginal route depending upon the merit of the fistula. Aetiological pattern of the cases was evaluated along with surgical outcome and post-operative complications. Result: Ofthe 28 female urogenital fistulas, 27 (96.43%) were VVF and 1(3.57%) was UVF. Out of 28 cases, 71.42 %( 20patients) were post-hysterectomy complication, 21.42 %( 6 patients) cases resulted from birth trauma and 7.14 %(n=2) cases were post caesarean complication. Trans-abdominal route was used for operation in 22 (78.56%) cases while 6 (21.42%) cases were operated through trans-vaginal route. In this series of 28 cases, 89.29 %( 25 cases) patients were fully cured and10.71 %( 3cases) patients experienced recurrence. Conclusion: The aetiological pattern of the female urogenital fistula in our country has changed substantially from the dominance of birth trauma to post hysterectomy indicating a remarkable improvement in maternal care system along with development of other socioeconomic parameters. Bangladesh Journal of Urology, Vol. 21, No. 2, July 2018 p.71-75



Sign in / Sign up

Export Citation Format

Share Document