Browning A, Menber B
Barhirdar Hamlin Fistula Centre, Barhirdar, Ethiopia.
BJOG. 2008 Nov;115(12):1564-9. doi: 10.1111/j.1471-0528.2008.01900.x.
To quantify surgical and quality of life outcomes 6 months after obstetric fistula repair.
A prospective study. Women were examined and questioned at discharge and at follow-up appointment.
The Barhirdar Hamlin Fistula Centre, a dedicated unit treating women with obstetric fistula in northern Ethiopia.
All women admitted to the Barhirdar Hamlin Fistula Centre suffering from vesicovaginal (WF) and rectovaginal fistulae (RVF).
All women were asked to return for a follow-up appointment 6 months after surgical treatment. A standardised questionnaire and examination were used and information entered into a database.
Urinary and anal continence status; extent of return to previous family situation, employment, social activities and reproductive capabilities.
Continence status at discharge was largely maintained at 6 months and quality of life was improved. Many of those incontinent on discharge improved; a small number apparently cured at discharge had later recurrence of incontinence.
Surgical treatment for obstetric fistula is successful in maintaining continence and improving quality of life of women at 6-months follow up.
量化产科瘘修补术后6个月的手术效果及生活质量。
一项前瞻性研究。在出院时及随访预约时对女性进行检查和询问。
位于埃塞俄比亚北部专门治疗产科瘘女性患者的巴赫达尔哈姆林瘘管中心。
所有入住巴赫达尔哈姆林瘘管中心的膀胱阴道瘘（VF）和直肠阴道瘘（RVF）女性患者。
要求所有女性在手术治疗6个月后返回进行随访预约。使用标准化问卷和检查，并将信息录入数据库。
尿失禁和肛门失禁情况；恢复到之前家庭状况、就业、社交活动及生殖能力的程度。
出院时的控尿状况在6个月时基本保持，生活质量得到改善。许多出院时失禁的患者情况有所改善；少数出院时明显治愈的患者后来又出现了失禁复发。
在6个月的随访中，产科瘘的手术治疗成功地维持了女性的控尿能力并改善了其生活质量。
