{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T22:13:58Z","timestamp":1789596838521,"version":"build-2803163510"},"reference-count":13,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2011,11,1]],"date-time":"2011-11-01T00:00:00Z","timestamp":1320105600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["British Journal of Medical and Surgical Urology"],"published-print":{"date-parts":[[2011,11]]},"abstract":"<jats:sec><jats:title>Objectives:<\/jats:title><jats:p> To assess factors influencing short-term outcomes of vesicovaginal fistula (VVF) repairs in community-dwelling women of Liberia, Africa. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p> Forty patients who underwent VVF repairs were analyzed. Primary outcome was continence status at 14 days post repair. Factors influencing continence status were characterized. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> The mean duration of leakage was 9.6 \u00b18.3 years, (3 months\u201328 years). Thirteen (33%) had previous repairs, and 6 (15%) had multiple fistula sites. Twenty-eight (70%) were continent at catheter removal. First time repairs had a higher continence rate compared to women with previous repairs, 78% and 54% respectively ( p = 0.15). Seven (47%) juxtaurethral repairs were considered failures, while only one (9%) juxtacervical fistula remained incontinent ( p =0.069). Controlling for duration of leakage, women with previous repairs were significantly less likely to be continent ( p = 0.04; adjusted OR = 0.07; 95% CI: 0.005, 0.83). <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions:<\/jats:title><jats:p> Patients with previous VVF repairs and juxtaurethral fistulae experience lower success rates; surgery remains an effective treatment for many VVF patients. <\/jats:p><\/jats:sec>","DOI":"10.1016\/j.bjmsu.2011.02.001","type":"journal-article","created":{"date-parts":[[2011,3,16]],"date-time":"2011-03-16T19:41:13Z","timestamp":1300304473000},"page":"259-265","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Factors Influencing Post-Operative Short-Term Outcomes of Vesicovaginal Fistula Repairs in a Community Hospital in Liberia"],"prefix":"10.1177","volume":"4","author":[{"given":"Oxana","family":"Munoz","sequence":"first","affiliation":[{"name":"Department of Surgery, Division of Urology, University of Alabama, Birmingham, AL, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. 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