DETERMINANTS OF FAILURE IN SURGICAL REPAIR OF VESICOVAGINAL FISTULA AT A TERTIARY REFERRAL HOSPITAL IN INDONESIA: A RETROSPECTIVE STUDY
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Abstract
Background: Repair failure or recurrent fistula is the most common complication of vesicovaginal fistula repair procedures. The paper aims to explore determinants of failure in the surgical repair of vesicovaginal fistula at a tertiary referral hospital in Indonesia
Methods and Results: The retrospective study was conducted at a tertiary referral hospital. 71 medical records from vesicovaginal fistula patients were recorded to obtain data such as age, BMI (Body Mass Index), size and number of fistulas, obstetric and previous surgical procedures, and previous repair history. The data were analyzed descriptively and statistically. The results showed age (p=0.569, correlation coefficient =0.104), Body Mass Index (BMI) (p= 0.104, correlation coefficient = 0.298), fistula size (p=0.230 and correlation coefficient= 0.222), and repeat procedure (p= 0.903 and correlation coefficient = 0.022) shows that there is no significant relationship between the success of vesicovaginal fistula repair and the fistula size factor (p-value > 0.05), while the etiology of the fistula (p = 0.029 and correlation coefficient = 0.502) and the number of fistulas ( p= 0.034 and correlation coefficient = 0.356) shows that there is a significant relationship (p-value <0.05).
Conclusion: Etiology and the number of fistulas were factors related to the success of vesicovaginal fistula repair. Health workers need to pay attention to these two factors when treating patients with vesicovaginal fistula to prevent repair failure.