Title: Prognostic value of repeated surgery on obstetric vesico-vaginal fistula outcome: A Cameroonian experience
Author(s): Pierre Marie Tebeu, Gisele Kengne Fosso, Valentin Vadandi, Julius Sama Dohbit, Joseph Nelson Fomulu, Charles-Henry Rochat
Publication date: 29.09.2013
Link: https://doi.org/10.1016/S2305-0500(13)60173-6
Category : Research


To analyze the outcome of repeat repair of vesico-vaginal fistula following a failure.


Among the overall 81 operations analyzed, we had 31 repeat operations (37%) and 50 operations (63%) at first attempt. The success rates of closure of the fistula deteriorate with the number of attempts and vary from 88.2% at the first attempt, 76.9% at the second attempt, to 64.7% as from the third attempt. The result in terms of closing with continence also varies with the order of attempt with respective rates of 72.5%, 69.2% and 41.1% at the first, second and third attempts.


The result in terms of closing with continence of obstetric fistula surgery decreases with the number of surgical attempts.