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Characteristics of Genitourinary Fistula in Kigali, Rwanda; 5-Year Trends.

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Citation: Urology. 150:165-169, 2021 04.PMID: 32590083Institution: MedStar Washington Hospital CenterDepartment: Obstetrics and Gynecology/UrogynecologyForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Cesarean Section/ae [Adverse Effects] | *Ureter/pa [Pathology] | *Uterus/pa [Pathology] | *Vesicovaginal Fistula/ep [Epidemiology] | Cross-Sectional Studies | Female | Humans | Rwanda/ep [Epidemiology] | Ureter/su [Surgery] | Uterus/su [Surgery] | Vesicovaginal Fistula/et [Etiology] | Vesicovaginal Fistula/pa [Pathology] | Vesicovaginal Fistula/su [Surgery]Year: 2021 ISSN:

0090-4295

Name of journal: UrologyAbstract: CONCLUSION: There was a significant increase in the proportion of vesicouterine, vesicocervical, and ureterovaginal fistula presenting in Rwanda over the 5-year period, with the majority occurring after cesarean section. Copyright (c) 2020 Elsevier Inc. All rights reserved.MATERIALS AND METHODS: A cross-sectional study was conducted of women presenting for evaluation to the International Organization for Women and Development in Kigali, Rwanda, between February 1, 2013 and October 31, 2017. Data were collected from medical records, including demographics, surgical history, physical exam findings, and surgical intervention.OBJECTIVE: To assess the characteristics of women presenting with genitourinary fistula over a 5-year period in Kigali, Rwanda. Genitourinary (GU) fistula is a devastating condition that can result from difficult vaginal deliveries or as a surgical complication. Rwanda has seen notable increases in cesarean section rates as a result of a successful universal health care system. It is unclear how the increase in cesarean section rates may influence the types of fistula diagnosed.RESULTS: Two thousand ninety-one women presented for evaluation during the study period, of these 630 (30%) were diagnosed with GU fistula. Of the fistula diagnosed, 392 (62%) were vesicovaginal fistula, 185 (29%) were vesicouterine or vesicocervical, and 56 (9%) were ureterovaginal fistula. The percent of GU fistula that involved the ureter, uterus, and/or cervix significantly increased over the time period: 29.6% in 2013, 34.6% in 2014; 43.0% in 2015, 42.9% in 2016, and 45.3% in 2017.All authors: Kielb SJ, Lee H, Nishimwe A, Niteka LC, Richter LAOriginally published: Urology. 150:165-169, 2021 Apr.Fiscal year: FY2021Fiscal year of original publication: FY2021Digital Object Identifier:

https://dx.doi.org/10.1016/j.urology.2020.05.077

Date added to catalog: 2020-08-26

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Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	32590083	Available		32590083

CONCLUSION: There was a significant increase in the proportion of vesicouterine, vesicocervical, and ureterovaginal fistula presenting in Rwanda over the 5-year period, with the majority occurring after cesarean section. Copyright (c) 2020 Elsevier Inc. All rights reserved.

MATERIALS AND METHODS: A cross-sectional study was conducted of women presenting for evaluation to the International Organization for Women and Development in Kigali, Rwanda, between February 1, 2013 and October 31, 2017. Data were collected from medical records, including demographics, surgical history, physical exam findings, and surgical intervention.

OBJECTIVE: To assess the characteristics of women presenting with genitourinary fistula over a 5-year period in Kigali, Rwanda. Genitourinary (GU) fistula is a devastating condition that can result from difficult vaginal deliveries or as a surgical complication. Rwanda has seen notable increases in cesarean section rates as a result of a successful universal health care system. It is unclear how the increase in cesarean section rates may influence the types of fistula diagnosed.

RESULTS: Two thousand ninety-one women presented for evaluation during the study period, of these 630 (30%) were diagnosed with GU fistula. Of the fistula diagnosed, 392 (62%) were vesicovaginal fistula, 185 (29%) were vesicouterine or vesicocervical, and 56 (9%) were ureterovaginal fistula. The percent of GU fistula that involved the ureter, uterus, and/or cervix significantly increased over the time period: 29.6% in 2013, 34.6% in 2014; 43.0% in 2015, 42.9% in 2016, and 45.3% in 2017.

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