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Obstetric fistula

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https://www.readbyqxmd.com/read/28099745/cross-sectional-study-of-the-ultrasonographic-and-hormonal-characteristics-of-obstetric-fistula-patients-with-and-without-secondary-amenorrhea
#1
Jennifer H Tang, Anne Z Steiner, Angela M Bengtson, Margaret Moyo, Mwawi Mwale, Bonus Makanani, Jeffrey P Wilkinson
No abstract text is available yet for this article.
February 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28093731/sexual-activity-among-nigerian-women-following-successful-obstetric-fistula-repair
#2
Stephen A Anzaku, Sunday J Lengmang, Samaila Mikah, Steven N Shephard, Bassey E Edem
OBJECTIVE: To evaluate post-operative sexual activity among women who have undergone obstetric fistula repair. METHODS: The present descriptive cross-sectional study recruited married women who had undergone successful obstetric fistula repair who were attending reunion activities at Bingham University Teaching Hospital, Jos, Nigeria, between March 13 and March 15, 2014. Participants were interviewed regarding penetrative vaginal intercourse after surgery, and any changes in sexual desire, arousal, orgasm, sexual satisfaction, and the presence of coital pain compared with before they experienced obstetric fistula...
December 16, 2016: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28058000/vesicovaginal-fistula-presenting-as-a-large-abdominal-pseudocyst-a-rare-case
#3
Gaurav Vinod Kasat, Prakash W Pawar, Ajit S Sawant, Ashwin S Tamhankar
We present a rare case of indirect vesicovaginal fistula (VVF) in a patient with small capacity bladder. The fistula was between abdominal pseudocyst (APC) arising from bladder and vagina - and hence, an indirect VVF. A 35-year-old female had a history of emergency obstetric hysterectomy with iatrogenic bladder injury. Postoperatively, the patient developed VVF and large APC. Patient's micturating cystourethrogram was suggestive of small capacity bladder with bilateral Grade IV vesicoureteral reflux with a well-defined APC arising from superior surface of bladder to L4-L5 lumbar vertebrae...
October 2016: Urology Annals
https://www.readbyqxmd.com/read/28051050/our-experience-of-proximal-hypospadias-repair-using-the-cloutier-bracka-technique-at-the-gynaeco-obstetric-and-paediatric-hospital-yaounde-cameroon
#4
Mouafo Tambo Faustin Felicien, A S Nwaha Makon, C Kamadjou, G Fossi, C Le Coultre, O G Andze, M A Sosso, P Y Mure
BACKGROUND: In parts of Africa, routine circumcision is practised and sometimes even on children with hypospadias. The lack of preputial foreskin renders urethroplasty more difficult and often requires to use of a mucosal graft as described by Bracka. OBJECTIVE: The authors describe their experience of hypospadias repair using Bracka's technique. MATERIALS AND METHODS: Over a period of 5 years, 100 cases of proximal hypospadias were operated in our institution...
October 2016: African Journal of Paediatric Surgery: AJPS
https://www.readbyqxmd.com/read/28044959/recto-vaginal-fistula-of-obstetric-origin-a-surgical-solution
#5
Gabriel Statescu, Cristian Negura, Luciana Cretiu
A 26 year-old female patient was admitted for the first time in the surgical, presenting an abnormal connection between the rectum and vagina given a context of an apparently clear period of time following a natural childbirth 1 year and 10 months ago. This is a rare pathological condition with a major physical, mental and sexual impact for a young female. Various surgical treatment solutions are described in the specialized literature. Yet, we have not come across any studies that analyzed the various means of surgical treatment...
November 2016: Chirurgia
https://www.readbyqxmd.com/read/28025680/impact-of-surgery-on-quality-of-life-of-women-with-obstetrical-fistula-a-qualitative-study-in-burkina-faso
#6
Julie Désalliers, Marie-Eve Paré, Salam Kouraogo, Jacques Corcos
INTRODUCTION AND HYPOTHESIS: Obstetric fistula, caused by traumatic delivery and patient lack of access to obstetric care, is an important public health concern in developing countries, particularly in Sub-Saharan Africa. This research focuses on the experience of women living with obstetric fistula in Burkina Faso as well as their reintegration into community after surgery. METHODS: This project was funded by the Mères du Monde en Santé (MMS) Foundation and conducted in collaboration with the Boromo Hospital...
December 26, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/28000189/-diagnosis-and-surgical-treatment-for-rectovaginal-fistula
#7
Wanjin Shao
Rectovaginal fistulas are distressing conditions to patients and present a therapeutic challenge to surgeons. Whether the etiology of the fistula is obstetric, Crohn's disease-related, or cryptoglandular, a thorough anatomy evaluation is required in order to select the correct repair. No single surgical technique is suitable for all rectovaginal fistulas as of now. Less invasive surgery should be selected in primary repair, and endorectal advancement flap repair was recommended as the first line therapy in most guidelines for the treatment of rectovaginal fistulas...
December 25, 2016: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/27857904/successful-pregnancy-after-excision-of-cesarean-scar-endometriosis-with-uterovesicocutaneous-fistula-a-rare-case-report
#8
Sunil Kumar Juneja, Pooja Tandon, Isha Chopra
Scar endometriosis is an infrequent type of extrapelvic endometriosis. The most common extrapelvic form of endometriosis is cutaneous endometriosis, involving scar tissues occurring after obstetric or gynecologic procedures such as episiotomy, hysterotomy, cesarean section, and even laparoscopic surgery. The clinical presentation of scar endometriosis, i.e., tender swellings, mimics other dermatological and/or surgical conditions and delays the diagnosis. Scar endometriosis very rarely can get complicated with uterocutaneous fistula with a reported incidence of very few cases in world literature...
October 2016: International Journal of Applied and Basic Medical Research
https://www.readbyqxmd.com/read/27846665/menstrual-sexual-and-obstetrical-outcomes-after-vaginal-replacement-for-vaginal-atresia-associated-with-anorectal-malformation
#9
Clare Skerritt, Alejandra Vilanova Sánchez, Victoria Alison Lane, Richard J Wood, Geri D Hewitt, Lesley L Breech, Marc Levitt
The authors of this article became aware of significant differences in the management of two females with a rectovestibular fistula and associated vaginal agenesis. In one patient, a sigmoid colovaginoplasty was performed at the time of the posterior sagittal anorectoplasty (PSARP), and the other underwent repair of the rectovestibular fistula with a primary PSARP, but the surgeons elected to delay the timing of vaginal reconstruction. We decided to review the literature, to establish if recommendations could be made to optimize the management of these children based on current evidence...
November 15, 2016: European Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27826639/parity-as-a-predictor-of-obstetric-fistula-classification
#10
Erin Lorencz, Shelley L Galvin, Andrew Browning, Hannah Krause, Judith Goh
INTRODUCTION AND HYPOTHESIS: Obstetric fistulas are injuries to the genital tract in women without emergency obstetric services. Parity may predict the characteristics of fistulas that affect closure success and residual incontinence. Circumferential fistulas may predispose patients to postoperative incontinence. We hypothesized that primiparous women have more distal fistulas than multiparous women, leading to more scarring and circumferential fistulas. METHODS: A retrospective observational study was conducted on 1,856 women with obstetric fistula evaluated at three sites by three providers...
November 8, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/27822888/does-the-goh-classification-predict-the-outcome-of-vesico-vaginal-fistula-repair-in-the-developed-world
#11
Alice Beardmore-Gray, Mahreen Pakzad, Rizwan Hamid, Jeremy Ockrim, Tamsin Greenwell
INTRODUCTION AND HYPOTHESIS: The Goh Vesico-Vaginal Fistula (VVF) classification has prognostic value in VVF in the developing world (predominantly obstetric), with chances of successful closure decreasing from type 1 to type 4. We evaluated the prognostic value of the Goh classification for VVF of the developed world (predominantly iatrogenic). METHODS: A retrospective review was performed of 63 consecutive patients with a mean age of 53 years (range 21-88) undergoing VVF repair under a single surgeon between 2006 and 2014...
November 7, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/27822885/mental-health-screening-in-women-with-severe-pelvic-organ-prolapse-chronic-fourth-degree-obstetric-tear-and-genital-tract-fistula-in-western-uganda
#12
Hannah G Krause, Barbara A Hall, Shu-Kay Ng, Harriet Natukunda, Isaac Singasi, Judith T W Goh
INTRODUCTION AND HYPOTHESIS: High levels of mental health dysfunction have been identified in women with genital tract fistula. The aim of this study was to use the General Health Questionnaire-28 (GHQ-28) to screen women in western Uganda with severe pelvic organ prolapse, chronic fourth-degree obstetric tear and genital tract fistula for risk of mental health dysfunction. METHODS: Women undergoing surgery for severe pelvic organ prolapse, chronic fourth-degree obstetric tear, and genital tract fistula were interviewed using the GHQ-28 to screen for the risk of mental health dysfunction...
November 7, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/27821123/factors-associated-with-the-failure-of-obstetric-fistula-repair-in-guinea-implications-for-practice
#13
Alexandre Delamou, Therese Delvaux, Abdoul Habib Beavogui, Abdoulaye Toure, Delphin Kolié, Sidikiba Sidibé, Mandian Camara, Kindy Diallo, Thierno Hamidou Barry, Moustapha Diallo, Alain Leveque, Wei-Hong Zhang, Vincent De Brouwere
BACKGROUND: The prevention and treatment of obstetric fistula still remains a concern and a challenge in low income countries. The objective of this study was to estimate the overall proportions of failure of fistula closure and incontinence among women undergoing repair for obstetric fistula in Guinea and identify its associated factors. METHODS: This was a retrospective cohort study using data extracted from medical records of fistula repairs between 1 January 2012 and 30 September 2013...
November 8, 2016: Reproductive Health
https://www.readbyqxmd.com/read/27790520/large-dumbbell-shaped-vesicovaginal-calculus-managed-with-holmium-laser-cystolithotripsy-followed-by-staged-repair-of-vesicovaginal-fistula
#14
Ajit Sawant, Ashwin Sunil Tamhankar, Prakash Pawar, Gaurav Vinod Kasat, Lomesh Kapadnis
Complicated Vesicovaginal Fistulae (VVF) is prevalent in developing countries following obstetric injury. We report a rare case of a large dumbbell shaped vesicovaginal calculus measuring 7x 4.6cm in a patient with recurrent, complicated VVF managed successfully in two stages 6 weeks apart. Holmium laser (30 Watt) cystolithotripsy was used to break the vesical portion of the stone at the waist of the dumbbell, followed by delivery of vaginal part of the stone. Trans-abdominal VVF repair (O'Connor method) with omental interposition flap with right side ureteric reimplant was done after six weeks...
September 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27769010/secrecy-inhibits-support-a-grounded-theory-of-community-perspectives-of-women-suffering-from-obstetric-fistula-in-kenya
#15
T Lavender, S Wakasiaka, L McGowan, M Moraa, J Omari, W Khisa
AIM: this study aimed to gain understanding of the views of community members in relation to obstetric fistula. DESIGN AND METHOD: a qualitative, grounded theory approach was adopted. Data were collected using in-depth interviews with 45 community members. The constant comparison method enabled generation of codes and subsequent conceptualisations, from the data. SETTING: participants were from communities served by two hospitals in Kenya; Kisii and Kenyatta...
November 2016: Midwifery
https://www.readbyqxmd.com/read/27749456/efficacy-and-safety-of-bevacizumab-containing-therapy-in-newly-diagnosed-ovarian-cancer-rosia-single-arm-phase-3b-study
#16
Amit M Oza, Frédéric Selle, Irina Davidenko, Jacob Korach, Cesar Mendiola, Patricia Pautier, Ewa Chmielowska, Aristotelis Bamias, Andrea DeCensi, Zanete Zvirbule, Antonio González-Martín, Roberto Hegg, Florence Joly, Claudio Zamagni, Angiolo Gadducci, Nicolas Martin, Stephen Robb, Nicoletta Colombo
OBJECTIVE: The aim of this study was to assess the safety and efficacy of extending bevacizumab therapy beyond 15 months in nonprogressive ovarian cancer. PATIENTS AND METHODS: In this multinational prospective single-arm study (ClinicalTrials.gov NCT01239732), eligible patients had International Federation of Gynecology and Obstetrics stage IIB to IV or grade 3 stage I to IIA ovarian cancer without clinical signs or symptoms of gastrointestinal obstruction or history of abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess within the preceding 6 months...
January 2017: International Journal of Gynecological Cancer
https://www.readbyqxmd.com/read/27741185/residual-incontinence-after-obstetric-fistula-repair
#17
L Lewis Wall
No abstract text is available yet for this article.
November 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27738382/maternal-and-fetal-outcomes-after-lamotrigine-use-in-pregnancy-a-retrospective-analysis-from-an-urban-maternal-mental-health-centre-in-new-zealand
#18
Chandni Prakash, Susan Hatters-Friedman, Charmian Moller-Olsen, Abigail North
INTRODUCTION: Pregnancy is a vulnerable period for recurrence of bipolar disorder. Discontinuation of mood stabilisers during pregnancy and the postpartum period can significantly increase the risk of recurrence of bipolar disorder. Lamotrigine is an anti-epileptic drug that has been approved for the maintenance treatment of bipolar disorder. Epilepsy literature has indicated that lamotrigine has a reassuring safety profile in pregnancy but there is little information on its effectiveness and safety in pregnant women with mental disorders...
August 15, 2016: Psychopharmacology Bulletin
https://www.readbyqxmd.com/read/27724918/a-descriptive-longitudinal-study-protocol-recurrence-and-pregnancy-post-repair-of-obstetric-fistula-in-guinea
#19
Alexandre Delamou, Therese Delvaux, Abdoul Habib Beavogui, Alain Levêque, Wei-Hong Zhang, Vincent De Brouwere
BACKGROUND: Obstetric fistula is a serious medical condition which affects women in low income countries. Despite the progress of research on fistula, there is little data on long term follow-up after surgical repair. The objective of this study is to analyse the factors associated with the recurrence of fistula and the outcomes of pregnancy following fistula repair in Guinea. METHODS: A descriptive longitudinal study design will be used. The study will include women who underwent fistula repair between 2012 and 2015 at 3 fistula repair sites supported by the Fistula Care Project in Guinea (Kissidougou Prefectoral Hospital, Labé Regional Hospital and Jean Paul II Hospital of Conakry)...
October 10, 2016: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/27680693/an-integrative-review-on-women-living-with-obstetric-fistula-and-after-treatment-experiences
#20
Hannah Mafo Degge, Mark Hayter, Mary Laurenson
AIM AND OBJECTIVES: To review literature on the experiences of women with obstetric fistula, their lived experiences after treatment; and to provide evidence for future research. BACKGROUND: Obstetric fistula is an injury most commonly resulting from a prolonged labour. Long eradicated in developed countries, obstetric fistula remains a public health issue in sub-Saharan Africa and Asia. This is a highly stigmatised health condition, and an understanding of the women's experience is required to inform holistic approaches for care and prevention...
September 29, 2016: Journal of Clinical Nursing
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