::INDO AMERICAN JOURNAL OF PHARMACEUTICAL SCIENCES::

CODEN : IAJPBB
issn 2349-7750

News Updates Latest Volumes: COSMOS IMPACT FACTOR (2018)- 4.153, GLOBAL IMPACT FACTOR(2014) - 0.384, (2015) - 0.437, Indo American Journal of Pharmaceutical Sciences,

ResearcherID - CLICK HERE Scientific Journal Impact Factor (SJIF-2020) - CLICK HERE

TITLE:

A RESEARCH STUDY ON FACTORS DETERMINING RECURRENCE AFTER VESICOVAGINAL FISTULA REPAIR

AUTHORS:

Dr Rabia Imtiaz, Dr Maria Maqsood, Asia Akram

ABSTRACT:

Objective: Evaluation of different prognostic factors which regulate the outcome by surgical repairing of vesicovaginal fistula. Methods: In Jinnah Hospital Lahore, a reflective survey was held which is composed of the data relevant to victims of vesicovaginal fistula repair during February 2003 to July 2018. The record was examined through SPSS 19 software defining odds ratio having 95% confidence interval. Results: Data of 640 victims was investigated with success rate of 558 (87.2%) cases. This investigation revealed that reappearance of disease was expressively linked to multiplicity (9-fold recurrence risk), pre-operative size (10- fold reappearance risk for fistula > 2cm equated to <1cm), secondary repair (5-fold risk) and extent of the fistula (3- fold risk). Insinuation of flap and tardy rebuilding (between 6 weeks and 1 year) was linked to effective surgical results. Aetiology, age, parity, repairing route and fistula location were not substantial (p>0.05 each0 prognostic factors for reappearance. Conclusion: For effective restoration of vesicovaginal fistula cautious determination of several factors is needed comprising number, size, previous efforts for restoration and interval of fistula. Keywords: Prognostic factors, Recurrence, Surgical repair, Vesicovaginal fistula.