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Urogenital fistula in a Saudi Arabian referral center

  • General Gynecology
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Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Purpose

To review all cases of genitourinary fistula, their causes, management and outcome.

Materials and methods

A retrospective chart review of all fistula cases referred to the Urogynecology Department, King Fahad Medical City, Riyadh, Saudi Arabia, from January 2005 to December 2011.

Results

Sixteen genitourinary fistula cases were identified; nine (56 %) cases of vesicovaginal fistula, four (25 %) cases of vesicouterine fistula, and three (19 %) cases of vesicocervical fistula. Mean age was 41 (29–61) and mean parity was 7.4 (2–15). Out of the 16 cases, 12 (75 %) had obstetrical surgical complications, of which 8 (50 %) had complications of cesarean sections. Twelve of 15 cases (80 %) were cured after primary surgical repair, 2 (13 %) after secondary repair and 1 after tertiary repair. One case was cured after conservative management.

Conclusion

Most of the genitourinary fistulae were of iatrogenic obstetric causes, mainly cesarean section with none of the cases due to obstructed labor unlike fistulae in developing countries or developed countries fistulae (iatrogenic gynecologic origin).

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We declare that we have no conflict of interest.

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Correspondence to Kauser Perveen.

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Perveen, K., Al-Shaikh, G., Al-Moazin, M. et al. Urogenital fistula in a Saudi Arabian referral center. Arch Gynecol Obstet 287, 261–265 (2013). https://doi.org/10.1007/s00404-012-2541-x

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  • DOI: https://doi.org/10.1007/s00404-012-2541-x

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