Lower reproductive tract fistula repairs in inpatient US women, 1979–2006
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Introduction and hypothesis
The objective of the study was to characterize trends in lower reproductive tract fistula (LRTF) repair in inpatient US women from 1979 to 2006.
Retrospective data was obtained from the National Hospital Discharge Survey regarding LRTF diagnoses, demographics, comorbidities, and fistula repair procedures, using ICD-9-CM diagnostic and procedure codes. Age-adjusted rates (AARs) were calculated using 1990 census data. Trends in LRTF surgical repair were evaluated using regression analysis.
Between 1979 and 2006, the AAR of LRTF repair declined from 7.8 to 4.8 per 100,000 women (b = −2.97, p < 0.001). The most common surgical fistula repairs were rectovaginal, vesicovaginal, and colovaginal. The AARs of colovaginal and vesicovaginal fistula repair remained stable, while the AAR of rectovaginal fistula repair declined.
The AAR of inpatient LRTF repair declined between 1979 and 2006, perhaps reflecting a concurrent decrease in obstetric trauma, in the context of decreasing episiotomy and operative vaginal delivery and increasing cesarean section rates.
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International Urogynecology Journal
Volume 23, Issue 4 , pp 403-410
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- Colovaginal fistula
- Hospital discharge data
- Rectovaginal fistula
- Surgical repair
- Vesicovaginal fistula
- Industry Sectors
- Author Affiliations
- 1. Division of Urogynecology, Department of Obstetrics, Gynecology, and Reproductive Sciences, Magee-Womens Hospital, University of Pittsburgh Medical Center, Pittsburgh, PA, USA
- 3. Female Pelvic Medicine & Reconstructive Surgery, UCSD Women’s Pelvic Medicine Center, 9350 Campus Point Drive, Suite 2a, La Jolla, CA, 92037, USA
- 2. Office of Clinical Research, University of Pittsburgh Clinical and Translational Science Institute (CTSI), Pittsburgh, PA, USA