{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T16:53:38Z","timestamp":1773680018944,"version":"3.50.1"},"reference-count":17,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2007,8,29]],"date-time":"2007-08-29T00:00:00Z","timestamp":1188345600000},"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":[[2007,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The repair of combined vesico\u2010vaginal fistulas (VVFs) and recto\u2010vaginal fistulas (RVFs) is challenging to both surgeon and patient. The multistage approach involves at least 3 surgical sessions, all associated with morbidity and sometimes with a colostomy procedure as well. The outcomes of the 1\u2010stage approach were examined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Twenty patients aged between 16 and 38\u00a0years were recruited for a multicenter study conducted from March 2005 to August 2006. Prolonged obstructed labor was the cause of all fistulas. The VVFs were mainly midvaginal (60%), juxtaurethral (25%), and juxtacervical (15%). The RVFs measured between 1 and 3\u00a0cm, they were low in 70% of cases, and 1 was associated with fourth\u2010degree perineal tear. Bowel preparation was performed in all patients prior to surgery. No patient underwent temporary colostomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Both VVFs and VVFs were successfully closed in all patients, as evidenced by the continence dye test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The combined repair relieves economic constraints and emotional challenges, and it accelerates restoration to health and social reintegration for women affected with both VVFs and RVFs.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2007.06.022","type":"journal-article","created":{"date-parts":[[2007,8,30]],"date-time":"2007-08-30T11:15:02Z","timestamp":1188472502000},"source":"Crossref","is-referenced-by-count":4,"title":["One\u2010stage repair for combined fistulas: Myth or reality?"],"prefix":"10.1002","volume":"99","author":[{"given":"O.A.","family":"Ojengbede","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I.O.","family":"Morhason\u2010Bello","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"O.","family":"Shittu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2007,8,29]]},"reference":[{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00372737"},{"key":"e_1_2_8_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.02.007"},{"key":"e_1_2_8_4_2","first-page":"59","article-title":"Characteristics of VVF patients as seen at the specialist hospital in Sokoto, Nigeria","volume":"19","author":"Ibrahim T.","year":"2000","journal-title":"West Afr J Med"},{"key":"e_1_2_8_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmwh.2005.03.009"},{"key":"e_1_2_8_6_2","doi-asserted-by":"publisher","DOI":"10.1300\/J013v28n03_07"},{"key":"e_1_2_8_7_2","first-page":"203","volume-title":"Obstetrics and gynecology in the tropics and developing countries","author":"Lawson J.B.","year":"1967"},{"key":"e_1_2_8_8_2","first-page":"31","volume-title":"The psychosocial wellbeing of VVF Victims. The VVF victims","author":"Balogun S.K.","year":"1995"},{"key":"e_1_2_8_9_2","first-page":"15","article-title":"Ethiopia: an epidemiological study of vesico\u2010vaginal fistula in Addis Ababa","volume":"148","author":"Kelly J.","year":"1995","journal-title":"World Health Stat Q"},{"key":"e_1_2_8_10_2","unstructured":"United Nations Population Fund Agency and Engender Health. Obstetric fistula needs assessment report: Findings from nine African countries. New York NY: UNPFA and Engender Health; 2003.http:\/\/www.unfpa.org\/upload\/lib_pub_file\/356_filename_fistula\u2010needs\u2010assessment.pdf. Accessed May 29 2007."},{"key":"e_1_2_8_11_2","unstructured":"Reproductive Health Outlook. Program examples: Repairing obstetric fistulas at the Addis Ababa Fistula Hospital. 2003; updated 2005.www.rho.org\/html\/older_progexamples.htm#ethiopia. Accessed March 26 2007."},{"key":"e_1_2_8_12_2","first-page":"525","volume-title":"Obstetrics and gynecology in the tropics and developing countries","author":"Lawson J.B.","year":"1967"},{"key":"e_1_2_8_13_2","series-title":"Textbook of obstetrics and gynecology for medical students","first-page":"46","volume-title":"Fistulae","author":"Ekwempu C.C.","year":"1988"},{"key":"e_1_2_8_14_2","doi-asserted-by":"publisher","DOI":"10.1155\/1995\/971284"},{"key":"e_1_2_8_15_2","unstructured":"Healthopedia.com. Colostomy: what are the potential complications after the procedure?http:\/\/www.healthopedia.com\/colostomy\/after.html. 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