Iatrogenic Genitourinary Fistula: Changing Trends

Authors

  • T Pradhan
  • A Agrawal
  • MC Regmi

Keywords:

genitourinary fistula, ureteric fistula, vault fistula

Abstract

Aims: To study the frequency of iatrogenic cause amongst the surgery done for genitourinary fistula and to study the type and cause of iatrogenic genitourinary fistula.

Methods: This is a 5 year retrospective study analyses 73 iatrogenic fistulas from 217 women undergoing surgery for genitourinary fistula repair from year 2013 to 2018 on going. The analysis considers frequency and characteristics of type of fistula.

Results: Out of 217 genitourinary fistula 73(33.6%) were iatrogenic. Vaginal vault fistulas were 54.7% followed by ureteric fistula 32.8%, vesicovaginal fistula 10.9% and there were 2 iatrogenic RVF. The frequency of surgeries for iatrogenic fistula were found to be in increasing trend towards current years and 83.5% of the iatrogenic fistula were found with history of hysterectomy followed by emergency caesarean section 16.4%. 

Conclusions: Women undergoing hysterectomy were under risk for iatrogenic fistula. Optimum work environment is important to reduce surgical error during procedures. Operating training should be emphasized on optimal surgical skills, decision making.

Downloads

Download data is not yet available.
Abstract
6249

Published

2018-11-29

How to Cite

Pradhan, T., Agrawal, A., & Regmi, M. (2018). Iatrogenic Genitourinary Fistula: Changing Trends. Nepal Journal of Obstetrics and Gynaecology, 13(2). Retrieved from https://nepjol.info./index.php/NJOG/article/view/21864

Issue

Vol. 13 No. 2 (2018)

Section

CME

License

Copyright on any research article in the Nepal Journal of Obstetrics and Gynaecology is retained by the author(s).

The authors grant the Nepal Journal of Obstetrics and Gynaecology a license to publish the article and identify itself as the original publisher.

Articles in the Nepal Journal of Obstetrics and Gynaecology are Open Access articles published under the Creative Commons CC BY-NC License (https://creativecommons.org/licenses/by-nc/4.0/)

This license permits use, distribution and reproduction in any medium, provided the original work is properly cited, and it is not used for commercial purposes.