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Pelvic Floor Disorders/Obstetric Fistula

Obstetrics and Gynecology Clinics of North America, 2022
Pelvic floor disorders (PFDs) and obstetric fistula (OF) are common across the globe. PFDs include stress and urge urinary incontinence, overactive bladder, pelvic organ prolapse, fecal incontinence, sexual dysfunction, and pelvic pain. Although PFD and OF are common in low- and middle-income countries (LMIC) there is a lack of awareness and ...
Saifuddin T, Mama, Mohan, Chandra Regmi
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Obstetric and Gynecologic Genitourinary Fistulas

Clinical Obstetrics & Gynecology, 2021
Urinary incontinence shortly after childbirth or gynecologic surgery can be the result of obstetric or iatrogenic fistula formation. This can be a confusing and challenging diagnosis for medical providers. While the number of iatrogenic fistula cases is rising worldwide, obstetric fistulas are an issue uniquely particular to resource poor settings ...
Megan, Abrams, Rachel, Pope
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Obstetric Fistula

2020
Obstetric fistula (OF) is a condition that remains prevalent in non-industrialized nations, mainly in sub-Saharan Africa and Southeast Asia where proper and timely obstetrical care is inaccessible, unavailable, or inadequate. The reasons for the delay vary from country to country where poverty remains a common thread, and understanding the many factors
Chi Chiung Grace Chen, René Génadry
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Contemporary Issues in Obstetric Fistula

Clinical Obstetrics & Gynecology, 2021
We discuss a variety of contemporary issues relating to obstetric fistula. These include definitions of these injuries, the etiologic mechanisms by which fistulas occur, the role of specialist fistula centers in diagnosis and management, the classification of fistulas, and the assessment of surgical outcomes. We also review the growing need for complex
L Lewis, Wall   +2 more
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Obstetric vesicovaginal fistulas

American Journal of Obstetrics and Gynecology, 1970
In analyzing 39 vesicovaginal fistulas of obstetric origin, repaired by the author in a 6 month period, it is found that the complication of postoperative stress incontinence is correlated with the location of the fistula more than anything else. A classification to predict the likelihood of stress incontinence and means of preventing it are thus ...
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Vesicovaginal fistula: obstetric causes

Current Opinion in Obstetrics & Gynecology, 2006
Obstetric fistula has a devastating impact on the lives of women in poor countries. Currently, there is an international campaign by the World Health Organisation, United Nations Population Fund and other bodies to address this problem. This article reviews recent literature and highlights the paucity of evidence-based data.Articles on the ...
Suran, Ramphal, Jagidesa, Moodley
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Obstetric fistula: the international response

The Lancet, 2004
The advent of modern obstetric care has led to the eradication of obstetric fistula in nearly every industrialised country. However, in the developing world obstetric fistula continues to cause untold pain and suffering in millions of women. The very existence of this condition is the result of gross societal and institutional neglect of women that is,
France, Donnay, Laura, Weil
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Obstetric fistulas in rural Pakistan

International Journal of Gynecology & Obstetrics, 2006
Between 1999 and 2005 116 women with obstetric fistulas were treated at 6 "fistula camps" in rural Sindh Pakistan. This report provides detail on the characteristics of these patients and the results of treatment. A gynecologic team from the cities where treatments would be performed visited surrounding rural areas 3 months prior to the camps. Patients
A H, Jokhio, J, Kelly
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Radiology of obstetric vesicovaginal fistula

Urologic radiology, 1983
The excretory urograms of 70 Nigerian women presenting to the University of Benin Teaching Hospital with obstetric vesicovaginal fistula over a 7-year period are analyzed. The common abnormalities are medial deviation of distal ends of ureters (34%); discrete but smooth pseudoprostatic bladder base indentation (33%); and calyceal clubbing of varying ...
A I, Akamaguna   +3 more
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Fistulae of obstetric origin

Midwifery, 1991
World Health Organization (WHO) estimates that in the developing countries 5 million women each year suffer severe maternal morbidity and high on this list is obstetric fistulae (vesico-vaginal and/or recto-vaginal). This article tries to explain why these fistulae still occur, comments on measures of prevention and how treatment might best be provided
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