ArticleWomen's health (London, England)
Repair failure and associated factors among women who underwent obstetric fistula surgery in Southwest Ethiopia: A retrospective study.
Article in Women's health (London, England). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 3 of them syntheses that pooled it.
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Who cites it
4 citing papers in PubMed, 3 syntheses or guidelines pooled it, 3 citations in OpenAlex.
- Determinants of Recovery From Obstetric Fistula in Ethiopia: A Systematic Review and Meta-Analysis.Nursing open · 2026Pooled it
- 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
- Risk factors for failed fistula closure in Addis Ababa at fistula centre, central Ethiopia.Frontiers in global women's health · 2024Article
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Authors and funding
4 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundSurgical repair is one of the management strategies for obstetric fistulae, which are associated with tragic obstetric morbidities.
objectiveThis study assessed the proportion of repair failures and associated factors among women who underwent obstetric fistula surgery at the Mettu Hamlin Fistula Center.
designThis study is an institution-based, retrospective, cross-sectional design.
methodsThis study included 385 patients who underwent obstetric fistula repair surgery at the Mettu Hamlin Fistula Center between 2015 and 2020. Participants were selected using a simple random sampling technique. EpiData version 3.1 and STATA version 14.2 were used for data entry and analysis, respectively. The association between obstetric fistula failure and independent variables was tested using binary logistic regression analysis. In the bivariable analysis, a p-value of less than 0.25 was used as a cut-off point to include variables in the multivariable logistic regression analysis. The statistical significance was finally set at a p-value of less than 0.05.
resultsOf the 385 participants who underwent obstetric fistula surgical repair, about 18.2% (95% confidence interval = 14.6-22.3) failed to close. Larger fistula size (>3 cm) (adjusted odds ratio (AOR) = 4.6; 95% confidence interval = 2.34-8.91), urethral damage (adjusted odds ratio = 2.8; 95% confidence interval = 1.47-5.44), home delivery (adjusted odds ratio = 5; 95% confidence interval = 2.56-9.77), and malnutrition (body mass index <18.5 kg/m
conclusionObstetric fistula repair failure was lower in the area compared to the majority, but not all, of previous findings. Home delivery, damaged urethra, larger fistula size, and lower body mass index increased the probability of repair failure. To prevent repair failure early, it is necessary to strengthen pre- and post-operative care, including the assessment of women's nutritional status, fistula size, and urethral injury. Moreover, maternal care providers should educate mothers about the negative outcomes of home deliveries.
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