Volume 1
Number 1 January 2017Post-operative Genitourinary Fistula:A Survey in Faridpur Medical College Hospital (FMCH) and Diabetic Association Medical College Hospital, Faridpur (DAMCH)
DOI: https://doi.org/10.70357/jdamc.2017.v0101.02
Pramanik D1 , Saha JC2 , Khanom S3 , Begum P4 , Ahmed S5
Abstract
It was a retrospective study done in Faridpur Medical College Hospital, Faridpur, Bangladesh and Diabetic AssociationMedical College Faridpur from January 2001 to July 2015. Within this time 54 cases of genito-urinary fistulae (GUF) weretreated. 11 vesico- vaginal fistulae were obstetric (following LSCS) in origin and rest 43 were Gynecological (mostlyfollowing TAH) fistula. Highest incidence was uretero- vault fistula which was the sequelae of surgery mostly done by nongynecological and non- specialist (about 90%), next was vesico- vault, vesico- vaginal and uretero vaginal fistula byobstetrician and gynecologist about (10%). Ninety three percent fistula developed in rural and urban clinics and 6.80% inhospitals. The result of treatment were excellent. Technical improvement of the surgery and referral to specialized Centre forfistula management certainly improves the success and diminishes the suffering of the patients
Keywords: Fistula, Genitourinary, Iatrogenic
- Professor & Head, Department of Obstetrics & Gynaecology
- FRCS (Edin), Professor & Head, Department of Surgery
- Associate Professor, Department of Obstetrics & Gynaecology
- Assistant Professor, Department of Obstetrics & Gynaecology
- Assistant Professor, Department of Obstetrics & Gynaecology