scholarly journals Surgical Outcome of Hundred Vesico Vaginal Fistula Patients in National Fistula Centre

2019 ◽  
Vol 48 (1) ◽  
pp. 39-43
Author(s):  
Shamima Akhter ◽  
Mst Mahbuba ◽  
Nusrat Ara Yusuf ◽  
Munirunnessa ◽  
Nasrin Rosy
Keyword(s):  
Surgical Outcome ◽  
Obstetric Fistula ◽  
Economic Status ◽  
Cross Sectional Study ◽  
Easy Access ◽  
Vaginal Fistula ◽  
Cross Sectional ◽  
Splitting Technique ◽  
Operative Care ◽  
Vesico Vaginal Fistula

Vesico-vaginal fistula (VVF) is still a major global health problem.This study was performed to detect the surgical outcome of 100 VVF patients in National Fistula Centre. A descriptive cross sectional study was carried out among 100 VVF patients fulfilling the inclusion criteria admitted in the National Fistula Centre under the department of Obstetrics and Gynaecology during the study period of April, 2017 to September, 2017. During the period, 100 patients presented for surgical repair at a mean age of 28.7 years (SD7.1). Majority of them (49%) had a parity of one and 57% were less than 20 years old at the time of their first pregnancy. About 83% of women developed VVF following prolonged obstructed labour. Most of the fistula (95%) repaired through vaginal route by flap splitting technique and 73% repaired at 1st time. Recovery of most of the patient (75%) was uneventful. Inadequate post-operative care (26.9%) was the major causes of unsuccessful repair. Obstetric fistula is one of the tragedies of third world countries and it would be better solved by providing surgical procedure and easy access of all women to competent obstetrical care, irrespective of their social and economic  status during pregnancy and delivery. Bangladesh Med J. 2019 Jan; 48 (1): 39-43

scholarly journals Surgical Outcome of Vesico-Vaginal Fistula (VVF) after Repair: Experience of 51 Cases in a Teaching Hospital of Dhaka City

2019 ◽  
Vol 5 (1) ◽  
pp. 29-32
Author(s):  
Shimul Akter ◽  
Fouzia Mujib ◽  
Mohammed Masudur Rahman ◽  
Dewan Shahida Banu ◽  
Taslima Begum ◽  
...  
Keyword(s):  
Surgical Outcomes ◽  
Surgical Outcome ◽  
Abdominal Hysterectomy ◽  
Cross Sectional Study ◽  
Medical College Hospital ◽  
Vaginal Fistula ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Vesico Vaginal Fistula

Background: Surgical management of vesico-vaginal fistula is very crucial regarding the outcomes among the women. Objectives: The purpose of the present study was to see the surgical outcomes of vesico-vaginal fistula. Methodology: This cross-sectional study was carried out from July 2013 to December 2013 for a period of 6 months in the National Fistula Centre in the Department of Obstetrics & Gynaecology at Dhaka Medical College Hospital (DMCH), Dhaka, Bangladesh. All patients who underwent surgical repair for iatrogenic VVF in National Fistula Centre of the department of Obstetrics and Gynaecology of Dhaka Medical College Hospital were included in this study. Patients who got themselves admitted to Obstetrics & Gynaecology department of DMCH with the complaints of fistula. An interview usually lasted for an hour. The entire selected patients were interviewed for detailed history. Thorough physical examination was done. The surgical outcomes were recorded among the women. Result: A total number of 51 cases of VVF were recruited for this study. The mean age was 46.02 (±SD 6.104) years. Regarding the causes of iatrogenic vesico-vaginal fistula most of the cases (88.2%) were abdominal hysterectomy. In 4(7.8%) patients lower segment caesarean section caused the situation. Vaginal hysterectomy was responsible for 3.9% (2/51) cases of iatrogenic VVF. In more than 90% cases (46/51) the surgical outcome was successful; while in 5 patients’ fistula recurred 5 to 7 days following surgery. They were treated by re-operation later on. Conclusion: In conclusion abdominal hysterectomy is the most common cause of iatrogenic vesico-vaginal fistula with a very good surgical outcomes. Journal of National Institute of Neurosciences Bangladesh, 2019;5(1): 29-32

scholarly journals Outcome of urethral reconstruction among vesico-vaginal fistula patients: a cross-sectional study

2021 ◽  
Vol 27 (1) ◽  
Author(s):  
Olatunji O. Lawal ◽  
Rukiyat Adeola Abdus-salam ◽  
Oluwasomidoyin O. Bello ◽  
Imran O. Morhason-Bello ◽  
Oladosu A. Ojengbede
Keyword(s):  
Stress Incontinence ◽  
Obstetric Fistula ◽  
Cross Sectional Study ◽  
Successful Outcome ◽  
Urinary Continence ◽  
Urethral Reconstruction ◽  
Vaginal Fistula ◽  
Sectional Study ◽  
Cross Sectional ◽  
Vesico Vaginal Fistula

Abstract Background Obstetric fistula (OF) complicated by urethral loss (UL) poses a challenge to both the fistula surgeon and obstetric fistula patient. The involvement of the urethra and urethral closure mechanism in OF is an important determinant of successful closure of fistula and restoration of urinary continence. OF with UL is often associated with unsuccessful repair outcome. We describe urethral reconstruction in genital tract fistula patients with UL and the outcomes of the repair. Methods Aim To review the clinical characteristics and outcome of vesico-vaginal fistula associated urethral loss following urethral reconstruction. This was a descriptive cross-sectional study conducted at the University College Hospital, Ibadan, Nigeria. A 5-year prospective data of all vesico-vaginal fistula patients with urethral loss (2011–2016) were reviewed and analysed. Data collected include socio-demographic and obstetric characteristics; cause of the fistula; and fistula characteristics—type of fistula, number of previous repairs, urethral loss, outcome of repair and follow-up. Data were entered and analysed using IBM SPSS version 20. Results Urethral loss occurred in 23 (15.3%) out of 150 women with OF; these women had urethral reconstruction surgery. The commonest type of urethral loss encountered in this cohort was proximal urethral loss which was seen in 12 (52.2%) patients. The most common types of fistula seen with urethral loss were large vesico-vaginal fistula (34.8%) and mid-vaginal fistula (26.1%). More than half of the women (56.6%) had previous unsuccessful repair at other facilities before presentation. The fistula closure rate was high (82.6%) regardless of type of urethral loss. Among the women with successful closure of OF with UL, about 36.8% had urinary stress incontinence post-fistula repair. Conclusion Urethral loss appears to be a rare complication of obstetric fistula. Successful closure with stress incontinence was seen in a sizeable number of women with OF with UL. Preoperative assessment for determinant of post-repair incontinence and surgical repair by experienced surgeons will improve successful outcome of repair in women with obstetric fistula with UL.

scholarly journals Study of Urogenital Fistula in Rajshahi Medical College Hospital

2018 ◽  
Vol 24 (2) ◽  
pp. 91-94
Author(s):  
N Nahar ◽  
S Chaudhury ◽  
M Zillur Rahman
Keyword(s):  
Obstetric Fistula ◽  
Cross Sectional Study ◽  
Medical College Hospital ◽  
Early Marriage ◽  
Previous Attempt ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Urogenital Fistula ◽  
Operative Care

This cross-sectional study was carried out in the gynae department of Rajshahi Medical College Hospital during the year January 2005 to December 2011, where 202 patients were studied for obstetric history, previous attempt at repair, the condition of the patient, the route of repair, age, etiological factors, techniques of surgery, socio-economic conditions, as well as treatment & results. Among 202 cases, surgery was done in 136 cases (67.33%). Among them 126 were successful (92.65%) and 10 failed (9.35%). Obstetric fistula results from obstructed labour occur mostly in the first pregnancy in young women. Prevention will include education, communication, transport, health care measures and prevention of early marriage. Awareness for mandatory hospital delivery in high risk pregnancies also can reduce obstetric fistulas. With good pre-operative intra-operative and post operative care and attention to surgical details may cure these affected woman.TAJ 2011; 24(2): 91-94

scholarly journals A Study on Outcome of VVF Repair at Kumudini Women's Medical College Hospital

2014 ◽  
Vol 40 (3) ◽  
pp. 18-20
Author(s):  
B Begum ◽  
S Khandakar ◽  
F Rahman
Keyword(s):  
Cross Sectional Study ◽  
Medical College Hospital ◽  
Drop Out ◽  
Fistula Repair ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Operative Care ◽  
Operative Recovery ◽  
Vesico Vaginal Fistula

This cross sectional study was carried out on 101 cases of vesico-vaginal fistula who were admitted and operated in Kumudini Women's Medical College Hospital. The aim of the study was to find out the outcome of vesicovaginal fistula repair. A detailed interview was taken from the patients and attendants by using a questionnaire. Necessary information were collected from the patient's record sheets . Small, medium and large sized fistulae were 59.41%, 26.73% and 11.88% respectively. The result of the study showed that success of fistula repair was 73.27%, though seven cases developed stress incontinence. Totally 27 patients were unsuccessfully repaired. Of which 19 (70.37%) were dropped out, 5(18.52%) were referred and 3(11.11%) had operative failure. Post-operative recovery was mostly (87.13%) uneventful. Urethral leakage (6.93%), blocked catheter ( 2.97%) and UTI (2.97%) were the leading complications. To improve the outcome, more training and skill of surgeons, improvised per-operative and post-operative care is necessary. Approaches should be designed to make the incidence of drop out to zero. DOI: http://dx.doi.org/10.3329/bmj.v40i3.18652 Bangladesh Medical Journal 2011 Vol.40(3):18-20

scholarly journals An Assessment of Asymptomatic Bacteriuria among Women with Vesico-Vaginal Fistula in South-Eastern Nigeria

1970 ◽  
Vol 1 (2) ◽  
pp. 64-69 ◽  
Author(s):  
Ileogben Sunday Adeoye ◽  
Oladapo Oladeinde ◽  
Jesse Uneke ◽  
Julie Adeoye
Keyword(s):  
Bacterial Species ◽  
Asymptomatic Bacteriuria ◽  
Cross Sectional Study ◽  
Vaginal Fistula ◽  
Anthropometric Parameters ◽  
Klebsiella Species ◽  
Cross Sectional ◽  
Significant Bacteriuria ◽  
Vesico Vaginal Fistula ◽  
Hiv Negative

Objective: Vesico-vaginal fistula (VVF) involves the pathological communication between the urinary bladder and vagina, possible complications arising from urinary tract infection merits consideration. This study seeks to evaluate significant bacteriuria among VVF clients. Setting: The setting was the South east Fistula Centre, Abakaliki, Ebonyi State, Nigeria. Population: This was a total population study of all consenting HIV negative VVF clients. Method: This cross-sectional study assessing asymptomatic bacteriuria was conducted among 109 HIV negative VVF clients using standard microbiological technique. Haematological and anthropometric parameters were also assessed. Results: The prevalence of asymptomatic bacteriuria was 76.1% and the highest prevalence was among clients aged 21-30years (90.3%), those who have had more than seven deliveries (85.0%) and those whose labour duration lasted above 48hours (76.7%). The prevalence of bacteriuria was least among women with VVF for less than a year. The prevalence was highest among patients with intra cervical fistula (83.3%). Bacteriuria prevalence was highest among women of blood group AB (100%). The rate was higher among women whose heights were > 1.53metres and whose weights were < 51kilogram. Six different bacterial species isolated  include E. coli (41.0%), Proteus species (21.7%), and Klebsiella species (18.1%). Though the bacterial isolates were resistance to many of the antibiotics assessed, the highest level of resistance was observed with perfloxacin, cotrimoxazole, while the highest level of susceptibility was with Ciprofloxacin. Conclusion: The prevalence of bacteriuria in this study is rather high and should not be neglected in the management of VVF clients.Key Words: Assessment; Asymptomatic Bacteriuria; VVF; Southeast Nigeria.DOI: http://dx.doi.org/10.3126/nje.v1i2.5141 Nepal Journal of Epidemiology 2011;1 (2):64-69

A study on the Relationship of the weight pattern with the socioeconomic status among adolescents school going children in an Indian Metropolitan City

2017 ◽  
Vol 3 (2) ◽  
pp. 320-323
Author(s):  
Samar Hossain ◽  
Sharma Priyanka ◽  
Talib Hossain ◽  
Surendra Mohan Mathur
Keyword(s):  
Socioeconomic Status ◽  
Socioeconomic Development ◽  
Economic Status ◽  
Cross Sectional Study ◽  
Overweight And Obesity ◽  
Cross Sectional ◽  
Socio Economic Status ◽  
Obesity And Overweight ◽  
Prevalence Of Obesity ◽  
Development Levels

Objective: The last two decades have witnessed an increase in health care costs due to obesity and related issues among children and adolescents. Childhood obesity is a global phenomenon affecting all socio-economic groups, irrespective of age, sex or ethnicity. The study was done to find the the prevalence of obesity and overweight and their association with socioeconomic status (SES) and the risk factors. Materials and Methods: School based cross sectional study carried out over a period of 4 months in three schools of East Delhi. The study was carried out in 629 school children of 10–18 years of age and belonging to different socioeconomic statuses in schools in East Delhi. The obesity and overweight were considered using an updated body mass index reference. A pre-tested questionnaire was used to determine the Socio-economic status and life style factors. Results: The prevalence of overweight among children was higher in middle socioeconomic status groups as compared to high socioeconomic class in both boys and girls whereas the prevalence of obesity was higher in high Socio economic status group as compared to middle socioeconomic group. The prevalence of obesity as well as overweight in low SES group was the lowest as compared to other group. Conclusion: The findings of this study suggest that the prevalence of overweight and obesity varies remarkably with different socioeconomic development levels.

FOOD CONSUMPTION OF CHILDREN AGED 1 TO 5 IN PHUOC VINH WARD, HUE CITY BY 24 HOURS FOOD RECORDING

2015 ◽  
pp. 153-161
Author(s):  
Thi Bach Yen Hoang ◽  
Thi Hai Pham ◽  
Dinh Tuyen Hoang ◽  
Thi Huong Le ◽  
Van Thang Vo
Keyword(s):  
Total Energy ◽  
Food Consumption ◽  
Economic Status ◽  
Cross Sectional Study ◽  
Food Groups ◽  
Food Record ◽  
Related Factors ◽  
Cross Sectional ◽  
Food Consumption Survey ◽  
Food Consumed

Food consumption survey is an essential parts of nutrition surveys. It helps to determine the type and quantity of food consumed, assessing the balance of the diet, the relationship between nutrient intake and health, diseases, and economic status, culture society... There are many methods to investigate food consumption. 24-hour food record is a method that record all food consumed by the subject during previous 24 hours. Using this method in chidren helps to assess the their diet to see if it responses the demand in order to have proper nutrition. Objectives: 1. Calculating the number of each food groups consumed within 24 hours of children 1 to 5 years in Phuoc Vinh ward, Hue City; 2. Assessing the quality of their diet and some related factors. Methodology: A cross-sectional study was implemented on 200 pairs of children aged 1 to 5 and parents or caregivers living in Phuoc Vinh ward, Hue city and some related factors. Results: 82% of the children’s diets covered 4 food groups. Prevalence of glucide, protein, lipide out of the total energy intake were 44.1%, 19.5%, 36.3% respectively within group of 12-<48 months and 50%, 19.5%, 30.6% respectively within group of 48-<72 months. Total energy and protein intake were higher than demanded (p <0.05) while glucide and lipide were lower than demanded (p <0.05). Economical status of family was significant associated with variety of food (all 4 food groups) in the diet of children (p <0.05) and total energy consumed (p <0.05). Conclusion: The children did not have proper nutrition so further research need to be implemented to have suitable interventions. Key words: 24 hours food records, children aged 1 to 5, Hue city.

scholarly journals Self-Rated Health and Subjective Economic Status in Life Satisfaction among Older Chinese Immigrants: A Cross-Sectional Study

Healthcare ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 342
Author(s):  
Bum Jung Kim ◽  
Lin Chen ◽  
Ling Xu ◽  
Yura Lee
Keyword(s):  
Life Satisfaction ◽  
Economic Status ◽  
Chinese Immigrants ◽  
The United States ◽  
Ordinary Least Squares ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Self Rated Health ◽  
Older Chinese

This study examines the influence of self-rated health and subjective economic status on the life satisfaction of older Chinese immigrants in the United States. Data were obtained from a cross-sectional survey of 205 older Chinese immigrants aged 66 to 90 years living in Los Angeles and Honolulu. Ordinary Least Squares (OLS) regression analysis was employed to explore the independent effects of self-rated health and subjective economic status. The results demonstrated that self-rated health and subjective economic status were positively associated with life satisfaction. This cross-sectional study provides empirical evidence that self-rated health and subjective economic status are directly associated with subjective life satisfaction among older Chinese immigrants.

scholarly journals Socio-Economic Status and Prevalence of Self-Reported Osteoporosis in Tehran: Results from a Large Population-Based Cross-Sectional Study (Urban HEART-2)

2018 ◽  
Vol 95 (5) ◽  
pp. 682-690 ◽  
Author(s):  
M. Asadi-Lari ◽  
Y. Salimi ◽  
M. R. Vaez-Mahdavi ◽  
S. Faghihzadeh ◽  
A. A. Haeri Mehrizi ◽  
...  
Keyword(s):  
Economic Status ◽  
Large Population ◽  
Population Based ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Socio Economic Status

Prevalence and factors related to second hand smoking exposure, knowledge and response among adolescents in rural Puducherry

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Kalaiselvy Arikrishnan ◽  
Gokul Sarveswaran ◽  
Yuvaraj Krishnamoorthy ◽  
Manikandanesan Sakthivel ◽  
Marie Gilbert Majella ◽  
...  
Keyword(s):  
Environmental Assessment ◽  
Nuclear Family ◽  
Economic Status ◽  
Cross Sectional Study ◽  
Categorical Variables ◽  
Continuous Variables ◽  
Public Place ◽  
Cross Sectional ◽  
Adequate Knowledge ◽  
Second Hand Smoking

AbstractObjectivesTo determine the prevalence of Second Hand Smoking (SHS) and assess the factors related to exposure, knowledge and response to SHS among adolescents in rural Puducherry, South India.MethodsA community based cross-sectional study was conducted among adolescents during March and April 2018. Two out of four villages were selected randomly and all the adolescents were contacted through household visit and questionnaire was administered. Semi structured questionnaire contained three sections: sociodemographic details, environmental assessment and third section contained knowledge about SHS, COTPA and response towards being exposed to SHS, as well as exposure history. Continuous variables like age were summarized as mean (SD). Categorical variables such as awareness, attitude and practise towards SHS were summarized as proportions with 95% confidence interval.ResultsTotal number of adolescents interviewed was 789. The mean age of the study participants were 14.1 (2.4) years and majority, 440 (55.8%) were boys and 684 (86.7%) belonged to nuclear family. More than one fourth, 210 (26.6%) belonged to middle class of socio-economic status. Environmental assessment of household showed more than half, 456 (57.8%) were staying in pucca house and majority 642 (81.4%) had adequate cross ventilation. It was found that about 70.1% had adequate knowledge about SHS and its harmful effects. Prevalence of exposure to SHS was 49%. Majority (40.5%) told that they will scold or advice the family member to stop smoking if they are exposed to SHS in the living place. However, almost 80% of adolescents mentioned that they will no’t react if they see someone smoking in a public place.ConclusionsCurrent study found that almost half of the adolescents were exposed to SHS. Even though, almost three fourth had adequate knowledge, attitude towards preventing SHS in public place was found to be poor. Hence, adolescents need to be motivated enough to address the problem in the public place through motivational counselling in adolescent clinics by health care workers.

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