ArticleBJOG : an international journal of obstetrics and gynaecology2019
Continence, quality of life and depression following surgical repair of obstetric vesicovaginal fistula: a cohort study.
Article in BJOG : an international journal of obstetrics and gynaecology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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14 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 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
- Robotic pneumovesical vesicovaginal fistula repair using the da vinci sp system: technical feasibility and early outcomes.World journal of urology · 2026Article
- Spatial disparities and determinants of obstetric fistula among childbearing women in sub-Saharan Africa: A geospatial regression approach.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Article
- Characteristics Associated with Failure of Obstetric Fistula Surgery.International urogynecology journal · 2026Article
- Consensus Statements on the Definition of Surgical Success Following Obstetric Urinary Pelvic Floor Fistula Repair: An IUGA-ICS Proposal.International urogynecology journal · 2026Article
- Patient Counseling Strategies at Female Genital Fistula Repair: A Qualitative Study among Ugandan Fistula Care Providers.Research square · 2025Article
- Preliminary experience with minimally invasive transvaginal single-port laparoscopic vesicovaginal fistula repair: report of 10 cases.International urology and nephrology · 2025Article
- Urinary incontinence following successful closure of obstetric vesicovaginal fistula repair in Southern Ethiopia.BMC women's health · 2024Article
- 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
- Quality of life and its predictive factors among women with obstetric fistula in Ethiopia: A cross-sectional study.Frontiers in public health · 2022Article
- Quality of life of obstetrics fistula patients before and after surgical repair in the Jimma University Medical Center, Southwest Ethiopia.BMC women's health · 2021Article
- Radiation-Induced Recurrent Vesicovaginal Fistula-Treatment with Adjuvant Platelet-Rich Plasma Injection and Martius Flap Placement-Case Report and Review of Literature.International journal of environmental research and public health · 2021Review
- Capacity building in female pelvic medicine and reconstructive surgery: Global Health Partnership beyond fistula care in Ethiopia.International urogynecology journal · 2020Review
- Assessment of health-related quality of life of vesicovaginal fistula patients attending a repair center in Northwest Nigeria.Annals of African medicineArticle
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7 authors at 4 institutions in 2 countries.
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Abstract
objectiveWe evaluated residual incontinence, depression, and quality of life among Malawian women who had undergone vesicovaginal fistula (VVF) repair 12 or more months previously.
designProspective cohort study.
settingFistula Care Centre in Lilongwe, Malawi. POPULATION: Women who had undergone VVF repair in Lilongwe, Malawi at least 12 months prior to enrolment.
methodsSelf-report of urinary leakage was used to evaluate for residual urinary incontinence; depression was evaluated with the Patient Health Questionnaire-9; quality of life was evaluated with the King's Health Questionnaire.
main outcome measuresPrevalence and predictors of residual incontinence, quality of life scores, and prevalence of depression and suicidal ideation.
resultsFifty-six women (19.3%) reported residual urinary incontinence. In multivariable analyses, predictors of residual urinary incontinence included: pre-operative Goh type 3 [adjusted risk ratio (aRR) 2.82; 95% confidence interval (CI) 1.61-5.27) or Goh type 4 1.08-2.78), positive postoperative cough stress test (aRR = 2.42; 95% CI 1.24-4.71) and the positive 1-hour postoperative pad test (aRR = 2.20; 95% CI 1.08-4.48). Women with Goh types 3 and 4 VVF reported lower quality of life scores. Depressive symptoms were reported in 3.5% of women; all reported residual urinary incontinence.
conclusionsWhile the majority of women reported improved outcomes in the years following surgical VVF repair, those with residual urinary incontinence had a poorer quality of life. Services are needed to identify and treat this at-risk group. TWEETABLE ABSTRACT: Nearly one in five women reported residual urinary incontinence at follow up, 12 or months after vesicovaginal fistula repair.
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