{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T10:47:34Z","timestamp":1769078854872,"version":"3.49.0"},"reference-count":13,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2004,11,26]],"date-time":"2004-11-26T00:00:00Z","timestamp":1101427200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2005,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Urinary fistulas resulting from obstetric trauma remains a major problem in developing countries. Surgical success rates, however, range from 61% to 95%. This study reviews the main causes of fistulas, and the surgical techniques and success rates of surgical closure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A total of 1086 cases of urinary fistulas resulting from obstetric trauma over 25 years were reviewed. All women received surgical intervention. Various types of fistulas as well as specific surgical techniques are described, and patient age, parity, and probable cause of fistula were compared with findings from studies in Africa.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The highest number of cases (47.6%) occurred in women aged between 26 and 35 years; moreover, 54.43% of the women were para 6 and higher. Obstructed labor contributed to 72.78%, cesarean hysterectomy to 7.60%, cesarean section to 7.30%, and other obstetrical traumatic procedures to 12.28% of the cases. Surgical success was achieved in 84.5% of the cases. The major residual problem of stress incontinence was noted in 5% of the cases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Besides prevention, the basic principles of fistula repair are the most important factors in achieving surgical success. Better preoperative preparation and rigorous measures for preventing postoperative infection can help increase the success rate of fistula repair.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2004.08.021","type":"journal-article","created":{"date-parts":[[2004,12,15]],"date-time":"2004-12-15T09:12:12Z","timestamp":1103101932000},"page":"71-75","source":"Crossref","is-referenced-by-count":30,"title":["Management of vesico\u2010vaginal fistulas in women"],"prefix":"10.1002","volume":"88","author":[{"given":"S.","family":"Ahmad","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Nishtar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G.A.","family":"Hafeez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Z.","family":"Khan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2004,11,26]]},"reference":[{"key":"e_1_2_4_2_2","first-page":"5","article-title":"Vesico\u2010vaginal fistula: the burden of maternal ill health","volume":"27","author":"Kelly J.","year":"1999","journal-title":"Safe Mother."},{"key":"e_1_2_4_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01901602"},{"key":"e_1_2_4_4_2","first-page":"20","article-title":"Vesical fistulae: an experience from a developing country","volume":"39","author":"Raut V.","year":"1993","journal-title":"J. Postgrad. Med."},{"key":"e_1_2_4_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0756.2004.00196.x"},{"key":"e_1_2_4_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01894198"},{"key":"e_1_2_4_7_2","first-page":"59","article-title":"Characteristics of VVF patients as seen as the specialist hospital Sokoto, Nigeria","volume":"19","author":"Ibrahim T.","year":"2000","journal-title":"West Afr. J. Med."},{"key":"e_1_2_4_8_2","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1177\/014107689208500505","article-title":"Vesico\u2010vaginal and recto\u2010vaginal fistulae","volume":"85","author":"Kelly J.","year":"1992","journal-title":"J. R. Soc. Med."},{"key":"e_1_2_4_9_2","unstructured":"Ahmad S. Urinary fistulae in Gynecological practice in North West Frontier Province. World Health Organization Publication on Obstetric fistula. WHO\/MCH\/MSM\/91.5."},{"key":"e_1_2_4_10_2","first-page":"57","article-title":"Maternal morbidity in obstetrical practice in Pakistan: maternal physiology and pathology","volume":"4","author":"Ahmad S.","year":"1991","journal-title":"Proceedings of the XIII World Congress of Obstetrics and Gynecology, Singapore"},{"key":"e_1_2_4_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.1979.tb02868.x"},{"key":"e_1_2_4_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/0020-7292(83)90005-X"},{"key":"e_1_2_4_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1983.tb08932.x"},{"key":"e_1_2_4_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1983.tb08933.x"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/api.elsevier.com\/content\/article\/PII:S0020729204003984?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/api.elsevier.com\/content\/article\/PII:S0020729204003984?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1016%2Fj.ijgo.2004.08.021","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1016%2Fj.ijgo.2004.08.021","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.ijgo.2004.08.021","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T17:02:37Z","timestamp":1696352557000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1016\/j.ijgo.2004.08.021"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,11,26]]},"references-count":13,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2005,1]]}},"alternative-id":["10.1016\/j.ijgo.2004.08.021"],"URL":"https:\/\/doi.org\/10.1016\/j.ijgo.2004.08.021","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2004,11,26]]}}}