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J Indian Med Assoc ; 1992 Nov; 90(11): 285-7
Article in English | IMSEAR | ID: sea-97993

ABSTRACT

A retrospective study was conducted on 361 women to evaluate the factors influencing the development of urinary fistula. Primipara women (69.8%) in the age group of 15-19 years (51.52%) with a height less than 150 cm (68.14%) were most frequently affected. Prolonged labour (82.79%), spontaneous delivery (57.92%) and delivery by forceps and craniotomy (31.12%) were the most common obstetric causes. Operation by native doctors and lymphogranuloma venereum were responsible for 3.32% and 0.55% cases respectively. Juxtra-urethral fistulae (54.84%) were the commonest type and the size of fistulae ranged from 0.5-1 cm in 65.92% of cases. Of the associated conditions pelvic abnormality was most frequently (45.8%) observed followed by urinary tract infection (26.2%), ammoniacal dermatitis of vulva (22.19%), nerve palsy (20.26%), involvement of rectum and anus (10.5%), gynatresia (9.97%), cystolithiasis (7.4%), secondary amenorrhoea (4.15%) and pregnancy (3.1%). Absence of formal education and presence of poverty were observed in 95% and 75% of cases respectively.


Subject(s)
Adolescent , Adult , Female , Humans , Nigeria , Obstetric Labor Complications , Pregnancy , Retrospective Studies , Socioeconomic Factors , Urinary Fistula/etiology , Urinary Tract Infections/complications
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