ArticleBMC women's health2022
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.
Article in BMC women's health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.
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10 citing papers in PubMed, 3 syntheses or guidelines pooled it, 14 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
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- Epidemiological profile, clinical characteristics, and surgical outcomes of genital fistula repair in Kinshasa, Democratic Republic of Congo: FisPro DRC Experience.The Pan African medical journal · 2026Article
- Knowledge of obstetric fistula and contributing factors among reproductive-age women in Ethiopia: a systematic review and meta-analysis.AJOG global reports · 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
- Prevalence and associated risk factors for failed obstetric fistula repair in East African countries: A systematic review and meta-analysis.SAGE open medicine · 2023Article
- Successful surgical closure and continence rate of obstetric fistula in Africa: systematic review and meta-analysis.Frontiers in global women's health · 2023Review
- Repair failure and associated factors among women who underwent obstetric fistula surgery in Southwest Ethiopia: A retrospective study.Women's health (London, England)Article
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Authors and funding
5 authors at 4 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundObstetric fistula repair failure is a combination of unsuccessful fistula closure and/or incontinence following a successful closure. It causes a burden on both the patients and the fistula centers. The aim of this study was to assess the magnitude and associated factors of obstetric fistula repair failure among women who underwent fistula repair at Yirgalem Hamlin fistula center in Southern Ethiopia.
methodsA facility-based retrospective cross-sectional study was conducted among women who underwent fistula repair at Yirgalem Hamlin fistula center, Southern Ethiopia, during the period from January 2016 to December 2020. All 562 women who underwent fistula repair in the last 5 years were included in the study. The data were collected using a pre-tested checklist from September 22 to October 22, 2021. The data were then imported into EPI info-data version 3.1, exported to SPSS version 25, and analyzed. Descriptive and logistic regression analyses were performed, and the significant statistical test was assessed at a 95% confidence interval. Variables with a p value of < 0.05 in multivariable logistic regression were regarded to have a statistically significant relationship.
resultsThe magnitude of obstetric fistula repair failure in this study was 28.8%. Obstetric fistula repair failure was found to be associated with labor duration > 48 h (AOR = 2.037; 95% CI 1.268, 3.272), Goh Type 4 fistulas (AOR = 3.939; 95% CI 1.623, 9.560), fistula size > 3 cm (AOR = 6.627; 95% CI 3.802, 11.554), completely destructed urethra (AOR = 3.192; 95% CI 1.234, 8.256), and bladder catheterization > 14 days (AOR = 2.944; 95% CI 1.380, 6.281).
conclusionsThe magnitude of obstetric fistula repair failure was significantly higher than the World Health Organization standard. Obstetric fistula repair failure had a positive association with a longer duration of labor, Goh Type 4 fistulas, large fistula size, total urethral injury, and a longer period of bladder catheterization. Therefore, the concerned bodies need to implement interventions on factors affecting obstetric fistula repair failure to reduce or prevent the failure of obstetric fistula repair.
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