Women with obstetric fistula in Ethiopia: a 6-month follow up after surgical treatment
Article first published online: 13 OCT 2008
© 2008 The Authors Journal compilation © RCOG 2008 BJOG An International Journal of Obstetrics and Gynaecology
BJOG: An International Journal of Obstetrics & Gynaecology
Volume 115, Issue 12, pages 1564–1569, November 2008
How to Cite
Browning, A. and Menber, B. (2008), Women with obstetric fistula in Ethiopia: a 6-month follow up after surgical treatment. BJOG: An International Journal of Obstetrics & Gynaecology, 115: 1564–1569. doi: 10.1111/j.1471-0528.2008.01900.x
- Issue published online: 13 OCT 2008
- Article first published online: 13 OCT 2008
- Accepted 20 June 2008.
- Follow up;
- obstetric fistula;
- quality of life;
Objective To quantify surgical and quality of life outcomes 6 months after obstetric fistula repair.
Design A prospective study. Women were examined and questioned at discharge and at follow-up appointment.
Setting The Barhirdar Hamlin Fistula Centre, a dedicated unit treating women with obstetric fistula in northern Ethiopia.
Population All women admitted to the Barhirdar Hamlin Fistula Centre suffering from vesicovaginal (WF) and rectovaginal fistulae (RVF).
Methods All women were asked to return for a follow-up appointment 6 months after surgical treatment. A standardised questionnaire and examination were used and information entered into a database.
Main outcomes measures Urinary and anal continence status; extent of return to previous family situation, employment, social activities and reproductive capabilities.
Results Continence status at discharge was largely maintained at 6 months and quality of life was improved. Many of those incontinent on discharge improved; a small number apparently cured at discharge had later recurrence of incontinence.
Conclusions Surgical treatment for obstetric fistula is successful in maintaining continence and improving quality of life of women at 6-months follow up.