ArticleReproductive health2016
Factors associated with the failure of obstetric fistula repair in Guinea: implications for practice.
Article in Reproductive health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.
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Who cites it
22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 47 citations in OpenAlex.
- A systematic review and meta-analysis of urinary incontinence following successful obstetric fistula repair: findings from five countries in sub-Saharan Africa.BMC women's health · 2025Pooled it
- Pooled it
- Pooled it
- Socio-medical consequences of living with obstetric fistula: a phenomenological study of the lived experiences of women in the Tamale Metropolis, Ghana.BMC pregnancy and childbirth · 2026Article
- Consensus Statements on the Definition of Surgical Success Following Obstetric Urinary Pelvic Floor Fistula Repair: An IUGA-ICS Proposal.International urogynecology journal · 2026Article
- Transabdominal and transvaginal repair of vesico-vaginal fistula with bovine pericardium (Tutopatch®). A double case report.Urology case reports · 2025Article
- Healthcare needs and treatment-seeking patterns of women living with obstetric fistula: a qualitative study in the Tamale Metropolis, Ghana.BMJ public health · 2025Article
- Urinary incontinence following successful closure of obstetric vesicovaginal fistula repair in Southern Ethiopia.BMC women's health · 2024Article
- Risk factors for failed fistula closure in Addis Ababa at fistula centre, central Ethiopia.Frontiers in global women's health · 2024Article
- Factors associated with reintegration trajectory following female genital fistula surgery in Uganda.AJOG global reports · 2023Article
- Predictors of outcomes in patients with repeat surgery for obstetric fistula: a retrospective review.International urogynecology journal · 2023Article
- Article
- Successful surgical closure and continence rate of obstetric fistula in Africa: systematic review and meta-analysis.Frontiers in global women's health · 2023Review
- Factors associated with surgical repair success of female genital fistula in the Democratic Republic of Congo: Experiences of the Fistula Care Plus Project, 2017-2019.Tropical medicine & international health : TM & IH · 2022Article
- Obstetric fistula repair failure and its associated factors among women underwent repair in Yirgalem Hamlin fistula center, Sidama Regional State, Southern Ethiopia, 2021: a retrospective cross sectional study.BMC women's health · 2022Article
- Factors Associated With Persistent Urinary Incontinence Among Women Undergoing Female Genital Fistula Surgery in the Democratic Republic of Congo From 2017 to 2019.Frontiers in global women's health · 2022Article
- Risk factors for early and late failures following repair of urogenital fistulas.International urogynecology journal · 2021Article
- Evaluation and management of obstetric genital fistulas treated at a pelvic floor centre in Germany.BMC women's health · 2021Article
- A review of surgical procedures to repair obstetric fistula.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2020Article
- Treatment-seeking for vaginal fistula in sub-Saharan Africa.PloS one · 2019Article
Corrections and comments
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Authors and funding
13 authors at 5 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe prevention and treatment of obstetric fistula still remains a concern and a challenge in low income countries. The objective of this study was to estimate the overall proportions of failure of fistula closure and incontinence among women undergoing repair for obstetric fistula in Guinea and identify its associated factors.
methodsThis was a retrospective cohort study using data extracted from medical records of fistula repairs between 1 January 2012 and 30 September 2013. The outcome was the failure of fistula closure and incontinence at hospital discharge evaluated by a dye test. A sub-sample of women with vesicovaginal fistula was used to identify the factors associated with these outcomes.
resultsOverall, 109 women out of 754 (14.5 %; 95 % CI:11.9-17.0) unsuccessful repaired fistula at discharge and 132 (17.5 %; 95 % CI:14.8-20.2) were not continent. Failure of fistula closure was associated with vaginal delivery (AOR: 1.9; 95 % CI: 1.0-3.6), partially (AOR: 2.0; 95 % CI: 1.1-5.6) or totally damaged urethra (AOR: 5.9; 95 % CI: 2.9-12.3) and surgical repair at Jean Paul II Hospital (AOR: 2.5; 95 % CI: 1.2-4.9). Women who had a partially damaged urethra (AOR: 2.5; 95 % CI: 1.5-4.4) or a totally damaged urethra (AOR: 6.3; 95 % CI: 3.0-13.0) were more likely to experience post-repair urinary incontinence than women who had their urethra intact.
conclusionAt programmatic level in Guinea, caution should be paid to the repair of women who present with a damaged urethra and those who delivered vaginally as they carry greater risks of experiencing a failure of fistula closure and incontinence.
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