Clinical Profile of Urogenital Fistula in Kathmandu Model Hospital

  • Hema Kumari Pradhan Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Nepal
  • Ganesh Dangal Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Nepal
  • Aruna Karki Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Nepal
  • Ranjana Shrestha Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Nepal
  • Kabin Bhattachan Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Nepal
  • Amit Mani Upadhyay Department of Urosurgery, Kathmandu Model Hospital, Nepal
  • Rekha Poudel Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Nepal
  • Nishma Bajracharya Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Nepal
  • Kenusha Devi Tiwari Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Nepal
  • Sonu Bharati Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Nepal
DOI: https://doi.org/10.33314/jnhrc.v18i2.2376

Abstract

Background: To determine the causes of fistula and to share our experience in treating urogenital fistula and its surgical outcome.
Methods: This was a retrospective study done at Kathmandu Model Hospital from January 2014 to June 2019 including 261 patients operated for fistula. The patients were analyzed for age, type of fistula, cause, treatment and surgical outcome.
Results: Out of 261 patients operated, 59.38% cases had obstetric fistula, 38.69% had iatrogenic and 1.92% had traumatic fistula. Most of the patients with obstetric fistula were between 21 to 25 years of age whereas iatrogenic fistulae were between 46-50 years of age. The majority (54.84%) of obstetric fistulae were vesicovaginal fistula (54.84%) while the commonest type (77.36%) of iatrogenic fistula was vault fistula after abdominal hysterectomy.
Conclusions: This study showed that obstructed and neglected labor was still the major cause of genitourinary fistula in Nepal nevertheless iatrogenic fistula following pelvic surgery is increasing. The surgical outcome of repair of fistula was good.
Keywords: Latrogenic fistula, obstructed labour, urogenital fistula.

Published
2020-09-07
How to Cite
PradhanH. K., DangalG., KarkiA., ShresthaR., BhattachanK., UpadhyayA. M., PoudelR., BajracharyaN., TiwariK. D., & BharatiS. (2020). Clinical Profile of Urogenital Fistula in Kathmandu Model Hospital. Journal of Nepal Health Research Council, 18(2), 210-213. https://doi.org/10.33314/jnhrc.v18i2.2376
Issue
Vol. 18 No. 2 (2020): Vol. 18 No. 2 Issue 47 Apr-Jun 2020
Section
Original Article

Copyright (c) 2020 Hema Kumari Pradhan, Ganesh Dangal, Aruna Karki, Ranjana Shrestha, Kabin Bhattachan, Amit Mani Upadhyay, Rekha Poudel, Nishma Bajracharya, Kenusha Devi Tiwari, Sonu Bharati

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