{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T05:57:11Z","timestamp":1773899831919,"version":"3.50.1"},"reference-count":12,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,1,8]],"date-time":"2020-01-08T00:00:00Z","timestamp":1578441600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine the success rate and factors that result in a negative dye test after extended bladder catheterization after surgery for obstetric fistula.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective cohort study was carried out on women who underwent obstetric fistula repair in Malawi and had \u226514\u00a0days of bladder catherization. Variables such as age, class of fistula, previous repairs, menopausal status, and <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> status were examined for association with successful healing at the end of the catheterization period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fifty\u2010two patients had a positive dye test after the intended period of catheterization and the catheterization period was extended by 7\u00a0days. Of these patients, 29 (55.7%) had a subsequent negative dye test. Older women (mean age 28.4\u00a0years) who developed a fistula were more likely to have a negative dye test after extended catheterization, compared to their younger counterparts (mean age 20\u00a0years) (<jats:italic>P<\/jats:italic>=0.0018). Other variables were not found to be significantly different between the two groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>More than half of the patients with a positive dye test had complete closure of the fistula defect after an extension of bladder decompression. It is reasonable to consider an extension of bladder catheterization for 7\u00a0days after an initial positive dye test.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.13088","type":"journal-article","created":{"date-parts":[[2019,12,18]],"date-time":"2019-12-18T04:59:24Z","timestamp":1576645164000},"page":"61-65","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Extended bladder catheterization for women with positive dye tests after obstetric vesicovaginal fistula repair surgery"],"prefix":"10.1002","volume":"149","author":[{"given":"Olivia H.","family":"Chang","sequence":"first","affiliation":[{"name":"Department of Global Women's Health, Obstetrics and Gynecology Baylor College of Medicine  Houston TX USA"},{"name":"Department of Obstetrics and Gynecology Baylor College of Medicine  Houston TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Prakash","family":"Ganesh","sequence":"additional","affiliation":[{"name":"International Training and Education Center for Health University of Washington  Seattle WA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey P.","family":"Wilkinson","sequence":"additional","affiliation":[{"name":"Department of Global Women's Health, Obstetrics and Gynecology Baylor College of Medicine  Houston TX USA"},{"name":"Department of Obstetrics and Gynecology Baylor College of Medicine  Houston TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel J.","family":"Pope","sequence":"additional","affiliation":[{"name":"Department of Global Women's Health, Obstetrics and Gynecology Baylor College of Medicine  Houston TX USA"},{"name":"Department of Obstetrics and Gynecology Baylor College of Medicine  Houston TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,1,8]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6874-12-5"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2004.00315.x"},{"key":"e_1_2_8_4_1","unstructured":"World Health Organization.WHO Recommendation on Duration of Bladder Catheterization after Surgical Repair of Simple Obstetric Urinary Fistula.2018."},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-10-73"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)62337-0"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2008.12.008"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2012.01.024"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12894-016-0152-8"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-017-3375-7"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2006.07.031"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/SPV.0000000000000694"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.15276"}],"container-title":["International Journal of Gynecology &amp; 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