Evidence map›Paper›PMID 39569762›Full record

GuidelineInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2025

FIGO good practice recommendations to standardize the assessment of outcomes following vesicovaginal fistula surgery.

Andrew Browning, Lilli Trautvetter, Gillian Slinger, Sayeba Akhter, Fekade Ayenachew, James Chapa, Yeshineh Demrew, Hillary Mabeya, Peter Majinge, Vindhya Pathirana and 1 more

Abstract readPractice Guideline
In one paragraph

Guideline in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. FIGO good practice recommendations to standardize the assessment of outcomes following vesicovaginal fistula surgery.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
    Guideline
  2. Article
  3. FIGO expert opinion management of post-obstetric fistula repair incontinence for vesicovaginal fistula.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Andrew BrowningMaternity Africa, Arusha, Tanzania.
Lilli TrautvetterFIGO, London, UK.
Gillian SlingerFIGO, London, UK.
Sayeba AkhterMAMM's Institute of Fistula and Women's Health, Dhaka, Bangladesh.
Fekade AyenachewInternational Fistula Alliance, Addis Ababa, Ethiopia.
James ChapaComprehensive Community Based Rehabilitation Tanzania (CCBRT), Dar es Salaam, Tanzania.
Yeshineh DemrewAddis Ababa Fistula Hospital, Addis Ababa, Ethiopia.
Hillary MabeyaGynocare Women's and Fistula Hospital, Eldoret, Kenya.
Peter MajingeComprehensive Community Based Rehabilitation Tanzania (CCBRT), Dar es Salaam, Tanzania.
Vindhya PathiranaCradle Specialty Health Centre, Dar es Salaam, Tanzania.
Thomas RaassenAMREF (retired), International Fistula Surgeon, Weesp, The Netherlands.

Funding

Anonymous FoundationTexas Children's Hospital
6 · The paper itself

Abstract

Obstetric fistula is a debilitating childbirth injury causing immense suffering for women and girls with the condition. The majority of fistulas can be successfully treated with a surgical repair, performed by a competent surgeon who has undergone specialist training and who works with a holistic fistula care team. As well as surgical repair, a critical component of fistula treatment is meticulous postoperative assessment to accurately determine surgical outcomes so that further treatment and support can be provided as required, and the risk substantially reduced of any patient being discharged with associated ongoing problems, such as urinary retention or residual/ongoing incontinence. Based on the opinions of experts in the field, these good practice recommendations provide a practical and standardized protocol for the correct assessment of surgical outcomes following vesicovaginal fistula surgery and appropriate subsequent management.

Indexed as

Vesicovaginal FistulaFemaleHumansPregnancyTreatment Outcomedye testfistula surgeonobstetric fistulaongoing incontinencepad testpostvoid residual volumesurgical outcome assessmentvesicovaginal fistula surgery

Identifiers

PMID39569762
PMCPMC11726128

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.