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Original Research 
RMJ. 2008; 33(2): 197-200


Obstetric Trauma is the Commonest Cause of Urogenital Fistulae

Ghazala Sadiq, Mohammad Sadiq, Nadra Sultana.

Abstract
Objective: To determine incidence of different types of urogenital fistulae, their frequency and success rate of different methods of repair.
Patients and Methods: This descriptive study was conducted at Armed Forces Institute of Urology and Department of Obstetrics and Gynecology, Military Hospital Rawalpindi from January 1997 to January 1998. A total of 44 patients were included in the study. Diagnosis was made by taking comprehensive history, detailed examination and appropriate investigations. Data regarding aetiological and risk factors was gathered.
Results: The incidence was 0.26%. Obstetric trauma, mostly prolonged and obstructed labour, was responsible for 53.3% cases and 40% were result of surgical trauma and miscellaneous causes. Forty percent of fistulae were vesico vaginal and same number was simple in type. Nearly 55% were repaired by abdominal route and 75% were successful in 1st attempt.
Conclusion: Obstetric trauma was the commonest cause of urogenital fistulae. Majority were repaired by abdominal route and 75% were successful in first attempt. Improvement in maternity care in rural areas, easy approach to specialist care and better training of staff in instrumental deliveries may help to decrease the incidence of these fistule. (Rawal Med J 2008;33:197-200).

Key words: Urogenital fistula, vesico vaginal fistula, prolonged labour, pelvic surgical trauma.


 
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How to Cite this Article
Pubmed Style

Ghazala Sadiq, Mohammad Sadiq, Nadra Sultana. Obstetric Trauma is the Commonest Cause of Urogenital Fistulae. RMJ. 2008; 33(2): 197-200.


Web Style

Ghazala Sadiq, Mohammad Sadiq, Nadra Sultana. Obstetric Trauma is the Commonest Cause of Urogenital Fistulae. https://www.rmj.org.pk/?mno=7748 [Access: April 05, 2022].


AMA (American Medical Association) Style

Ghazala Sadiq, Mohammad Sadiq, Nadra Sultana. Obstetric Trauma is the Commonest Cause of Urogenital Fistulae. RMJ. 2008; 33(2): 197-200.



Vancouver/ICMJE Style

Ghazala Sadiq, Mohammad Sadiq, Nadra Sultana. Obstetric Trauma is the Commonest Cause of Urogenital Fistulae. RMJ. (2008), [cited April 05, 2022]; 33(2): 197-200.



Harvard Style

Ghazala Sadiq, Mohammad Sadiq, Nadra Sultana (2008) Obstetric Trauma is the Commonest Cause of Urogenital Fistulae. RMJ, 33 (2), 197-200.



Turabian Style

Ghazala Sadiq, Mohammad Sadiq, Nadra Sultana. 2008. Obstetric Trauma is the Commonest Cause of Urogenital Fistulae. Rawal Medical Journal, 33 (2), 197-200.



Chicago Style

Ghazala Sadiq, Mohammad Sadiq, Nadra Sultana. "Obstetric Trauma is the Commonest Cause of Urogenital Fistulae." Rawal Medical Journal 33 (2008), 197-200.



MLA (The Modern Language Association) Style

Ghazala Sadiq, Mohammad Sadiq, Nadra Sultana. "Obstetric Trauma is the Commonest Cause of Urogenital Fistulae." Rawal Medical Journal 33.2 (2008), 197-200. Print.



APA (American Psychological Association) Style

Ghazala Sadiq, Mohammad Sadiq, Nadra Sultana (2008) Obstetric Trauma is the Commonest Cause of Urogenital Fistulae. Rawal Medical Journal, 33 (2), 197-200.








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