caa a22 4500 477045553 CHVBK 20180405111329.0 cr unu---uuuuu 170330e19960501xx s 000 0 eng 10.1007/BF01894198 doi (NATIONALLICENCE)springer-10.1007/BF01894198 The epidemiology of genitourinary fistulae in Kumasi, Ghana, 1977-1992 [Elektronische Daten] [K. Danso, J. Martey, L. Wall, T. Elkins] The aim of the study was to determine the clinical epidemiology of genitourinary fistulae as seen at Komfo Anokye Teaching Hospital in Kumasi, Ghana. A retrospective study was carried out from the hospital records and operative reports of all patients with genitourinary fistulae seen at Komfo Anokye Teaching Hospital between January 1977 and December 1992. Patient age, parity, type of fistula and cause of fistula were abstracted from the medical records. There were 164 cases of genitourinary fistula managed during the study period. There were 150 fistulae due to obstetric causes (91.5%), the vast majority of which were due to prolonged obstructed labor (121 cases, 73.8% of all fistulae), with a minority related to complications of lower-segment cesarean section (14 cases, 8.5% of all fistulae). In 5 cases (3.1%) patients developed a rectovaginal fistula owing to perineal tears and prolonged obstructed labor. During this time period there were 157 449 deliveries, giving an obstetric fistula rate of 1 fistula per 1000 deliveries. Obstetric fistulae were most common at the extremes of reproductive age and parity. Fourteen additional fistulae (8.5% of all cases) were due to gynecologic causes, most commonly from surgical injury occurring at the time of abdominal hysterectomy for leiomyomata uteri (12 cases, 7.3% of all fistulae). It was concluded that in Kumasi, Ghana, obstetric trauma from prolonged obstructed labor is the most common cause of genitourinary fistula formation. Such fistulae occur in older multiparous women as well in young primigravidae. Obstructed labour can, and does, occur in women who have previously undergone uneventful vaginal delivery. Birth attendants should be aware of that fact. Prompt referral for obstetric intervention should be made in obstructed labor, irrespective of the age and parity of the patient. International Urogynecology Journal, 1996 Obstetric fistula nationallicence Genitourinary fistula nationallicence Urinary incontinence nationallicence Vesicovaginal fistula nationallicence Danso K. Department of Obstetrics and Gynaecology, University of Science and Technology School of Medical Sciences, Kumasi, Ghana aut Martey J. Department of Obstetrics and Gynaecology, University of Science and Technology School of Medical Sciences, Kumasi, Ghana aut Wall L. Department of Obstetrics and Gynecology, Louisiana State University Medical Center, 1542 Tulane Avenue, 70131, New Orleans, LA, USA aut Elkins T. Department of Obstetrics and Gynecology, Louisiana State University Medical Center, 1542 Tulane Avenue, 70131, New Orleans, LA, USA aut International Urogynecology Journal Springer-Verlag 7/3(1996-05-01), 117-120 0937-3462 7:3<117 1996 7 192 https://doi.org/10.1007/BF01894198 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF01894198 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Danso K. Department of Obstetrics and Gynaecology, University of Science and Technology School of Medical Sciences, Kumasi, Ghana aut NATIONALLICENCE 700 1- Martey J. Department of Obstetrics and Gynaecology, University of Science and Technology School of Medical Sciences, Kumasi, Ghana aut NATIONALLICENCE 700 1- Wall L. Department of Obstetrics and Gynecology, Louisiana State University Medical Center, 1542 Tulane Avenue, 70131, New Orleans, LA, USA aut NATIONALLICENCE 700 1- Elkins T. Department of Obstetrics and Gynecology, Louisiana State University Medical Center, 1542 Tulane Avenue, 70131, New Orleans, LA, USA aut NATIONALLICENCE 773 0- International Urogynecology Journal Springer-Verlag 7/3(1996-05-01), 117-120 0937-3462 7:3<117 1996 7 192 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer