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dc.contributor.authorGoh, Judith TW
dc.contributor.authorKrause, Hannah
dc.contributor.authorTessema, Azeb B
dc.contributor.authorAbraha, Genet
dc.date.accessioned2017-05-03T14:21:16Z
dc.date.available2017-05-03T14:21:16Z
dc.date.issued2013
dc.date.modified2014-04-11T05:32:32Z
dc.identifier.issn0937-3462
dc.identifier.doi10.1007/s00192-012-1948-z
dc.identifier.urihttp://hdl.handle.net/10072/58302
dc.description.abstractIntroduction and hypothesis The aim of this study was to evaluate urinary symptoms and urodynamic diagnoses in women following repair of obstetric fistula of the lower urinary tract. Methods Women with previous genital tract fistula and ongoing urinary symptoms were evaluated at the Addis Ababa Fistula Hospital. The women were referred to the Urodynamic Unit by doctors reviewing women at the hospital. Consecutive women between December 2008 and September 2009 were assessed (including urodynamic studies) and data collected Results One hundred and fifty-four women were referred for urodynamic assessment. Only women with previous obstetric fistula were included in the study. Of the 154 women, 5 were excluded from the study-1 declined the assessment, 1 had a non-obstetric fistula and 3 were found to have recurrence of the fistula. Forty-nine percent had urodynamic stress incontinence only, 3 % had detrusor overactivity only and 43 % had both urodynamic stress incontinence and detrusor overactivity. Five percent of women had neither detrusor overactivity nor urodynamic stress incontinence. Seven percent had post-void residual volume of 150 ml or more. Conclusions Non-surgical management of post-obstetric fistula urinary symptoms may be neglected. The reduced success rates in surgery for post-obstetric fistula urinary incontinence may be due to the lack of attention to the other reasons for urinary symptoms and markedly impaired urethral function. Urethral closure pressures in this group of women often did not reflect the severity of urinary incontinence.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.languageEnglish
dc.language.isoeng
dc.publisherSpringer
dc.publisher.placeUnited Kingdom
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom947
dc.relation.ispartofpageto951
dc.relation.ispartofissue6
dc.relation.ispartofjournalInternational Urogynecology Journal
dc.relation.ispartofvolume24
dc.rights.retentionY
dc.subject.fieldofresearchMedical and Health Sciences not elsewhere classified
dc.subject.fieldofresearchPaediatrics and Reproductive Medicine
dc.subject.fieldofresearchcode119999
dc.subject.fieldofresearchcode1114
dc.titleUrinary symptoms and urodynamics following obstetric genitourinary fistula repair.
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.facultyGriffith Health, School of Medicine
gro.date.issued2013
gro.hasfulltextNo Full Text
gro.griffith.authorGoh, Judith T.
gro.griffith.authorKrause, Hannah


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