Evidence map›Paper›PMID 41979648›Full record

ArticleInternational urogynecology journal2026

Characteristics Associated with Failure of Obstetric Fistula Surgery.

Hannah Chapman, Amadou Issa Abdou, Chelsea Porter, Guihua Zhai, Isuzu Meyer, Itengre' Ouedraogo, Yakoubou Sanoussi, Abdoulaye Idrissa, Holly E Richter

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Article in International urogynecology journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Hannah ChapmanDepartment of Obstetrics and Gynecology, University of Alabama at Birmingham, 1700 6Th Av South, Suite 10382, Birmingham, AL, 35233, USA.
Amadou Issa AbdouDepartment of Obstetrics and Gynecology, Dan Dicko Dankoulodo University of Maradi, Maradi, Niger.
Chelsea PorterDanja Fistula Center, Danja, Niger.
Guihua ZhaiCenter for Clinical and Translation Science, University of Alabama at Birmingham, Birmingham, USA.
Isuzu MeyerDepartment of Obstetrics and Gynecology, University of Alabama at Birmingham, 1700 6Th Av South, Suite 10382, Birmingham, AL, 35233, USA.
Itengre' OuedraogoARENA, Centre Medical Renaissance, Ouagadougou, Burkina Faso.
Yakoubou SanoussiGalmi Hospital, Galmi, Niger.
Abdoulaye IdrissaReseau d'Eradication de La Fistule, Niamey, Niger.
Holly E RichterDepartment of Obstetrics and Gynecology, University of Alabama at Birmingham, 1700 6Th Av South, Suite 10382, Birmingham, AL, 35233, USA. hrichter@uabmc.edu.ORCID 0000-0001-7741-5771

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisQuality of life can significantly improve following successful surgical repair of obstetric fistula; however, these surgeries may be technically challenging. There are limited consensus data regarding optimal fistula closure techniques and perioperative management. The objective of this study was to identify clinical and anatomical characteristics associated with failure of obstetric vesicovaginal/urethrovaginal fistulas (VVaF/UVaF) closure. MATERIALS AND

methodsIn this retrospective cohort study, medical records of patients following VVaF/UVaF surgery at a single fistula center in Niger between 2022 and 2024 were identified. Clinical and demographic data were collected. Successful fistula closure was defined as water-tight visually assessed closure of fistula at discharge from the fistula center. Multivariable logistic regression was used to identify independent factors associated with closure failure.

resultsOf 125 women, 28 (22.4%) had failure of fistula closure. Mean age (SD) was 31.2 (9.78) years and median (interquartile range [IQR] parity 2 (0-4), with no difference between groups (all p > 0.05). Multivariable logistic regression adjusting for age resulted in an aOR (95% CI) for the number of previous surgeries of 1.37 (1.06, 1.75), and Goh's fibrosis level 2 vs 1 of 2.70 (1.04, 7.14) and 3 vs 1, 4.55, (1.04, 20.0).

conclusionsIn this population of women undergoing obstetric VVaF/UVaF repair, patients having undergone more surgeries and those with greater tissue fibrosis had greater odds of failed fistula closure. This emphasizes the importance of the initial fistula repair surgery as the best chance for fistula closure in these patients sustaining life-changing pelvic floor injury.

Indexed as

Gynecologic Surgical ProceduresUrethral DiseasesUrinary FistulaVesicovaginal FistulaAdultFemaleHumansLogistic ModelsNigerPregnancyRetrospective StudiesRisk FactorsTreatment FailureObstetric fistulaRisk factors for surgical failureVesicovaginal fistulaVesicovaginal fistula repair

Identifiers

PMID41979648
PMCPMC13226438

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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.