DOI: https://doi.org/10.36347/sjams.2025.v13i11.025

Pages: 1939-1944

Background: Obstetric fistula although virtually eliminated in high income countries, still remains a prevalent and debilitating condition in many parts of the developing world. It occurs in areas where access to care at childbirth is limited, or of poor quality and where few hospitals offer the necessary corrective surgery. Objective: To evaluate preoperative factors that affect post-operative outcome of fistula patients. Methods: Patients were selected with convenience sampling type of non-probability sampling technique due to vesicovaginal fistula (any type). The primary end point was to to evaluate preoperative factors that affect post-operative outcome of fistula patients and to evaluate the post-operative outcome. The secondary end point includes the correlation between pre-operative factors and post-operative outcome. Results: Among the surveyed 55 populations, 38 (69.1%) population were multiparous and rest 17 (30.9%) population were primiparous. Majority 42 (75.6%) population came from low-income socioeconomic status. Out of 44 vesicovaginal fistula, 52.4% were successfully repaired, 31.8% were failed and remaining 15.9% were cured (successful with incontinence). Of the 26-bladder base fistula 61.5% were successfully repaired, 15.4% were failed and 23.1% were cured. Among the 19 small sized fistula 84.2% were successfully closed, 3 (15.8%) were cured and the entire 4 extensive fistula failed. Vaginal scarring was absent in 31 cases and mild, moderate and gross scarring was present in 14, 4 and 6 cases respectively. Among those having mild scarring, 57.1% were successfully closed, 28.6% were failed and 14.3% were cured. Bony attachment was in 2 cases and both the cases failed and calculi in urinary bladder were in 2 cases and both of them healed. In 49 cases, operation was done in vaginal route. Graft was given in 3 cases, out of them 1 was successfully closed and 2 failed. Ureter was injured in 2 cases, both were successful. Among cured cases, stress incont