{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T05:56:54Z","timestamp":1773899814427,"version":"3.50.1"},"reference-count":16,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2017,6,22]],"date-time":"2017-06-22T00:00:00Z","timestamp":1498089600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Women's Health International (WHI)"},{"name":"Engender Health -Bangladesh"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine the quality of life (<jats:styled-content style=\"fixed-case\">QOL<\/jats:styled-content>) of fistula patients in Bangladesh who have undergone ileal conduit (<jats:styled-content style=\"fixed-case\">IC<\/jats:styled-content>) urinary diversion operations, and to assess whether the risks and ethical challenges involved, outweigh the reality of leaving a woman with urinary incontinence for the rest of her life.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Observational study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">LAMB<\/jats:styled-content> Hospital, Bangladesh.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population<\/jats:title><jats:p>Seventeen women who had undergone <jats:styled-content style=\"fixed-case\">IC<\/jats:styled-content> between February 2012 and March 2016: 14 women previously had irreparable obstetric fistulas and three had bladder exstrophy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Demographic, obstetric, <jats:styled-content style=\"fixed-case\">IC<\/jats:styled-content>\u2010related, stigma and discrimination information were collected by questionnaire. Univariate analysis was done using the two\u2010sided <jats:italic>t<\/jats:italic>\u2010test for comparison of differences before and after <jats:styled-content style=\"fixed-case\">IC<\/jats:styled-content> surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome methods<\/jats:title><jats:p>Change in stigma and discrimination scores. Health\u2010related <jats:styled-content style=\"fixed-case\">QOL<\/jats:styled-content> assessed using the 36\u2010item Short Form Health Survey.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 17 women, 14 (82.3%) felt they were cured of their fistula disease. Three complained of occasional leakage due to insufficient seal of the bag, mainly at night, and all but one experienced no limits to their daily activities. Stigma and discrimination scores were significantly lower after having the <jats:styled-content style=\"fixed-case\">IC<\/jats:styled-content> surgery. The mean difference from when the woman had a fistula to when she had an <jats:styled-content style=\"fixed-case\">IC<\/jats:styled-content> for stigma score was 3.17 (1.12\u20134.16, <jats:italic>P<\/jats:italic> &lt; 0.001), and for discrimination score was 3 (1.9\u20134.1, <jats:italic>P<\/jats:italic> &lt; 0.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Overall, there has been improved <jats:styled-content style=\"fixed-case\">QOL<\/jats:styled-content> following <jats:styled-content style=\"fixed-case\">IC<\/jats:styled-content> among the women in this study and all would recommend <jats:styled-content style=\"fixed-case\">IC<\/jats:styled-content> to women in the same situation. They remain chronic patients with some physical symptoms, but are well re\u2010integrated back into their communities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Tweetable abstract<\/jats:title><jats:p>Improved <jats:styled-content style=\"fixed-case\">QOL<\/jats:styled-content> following ileal conduit in women with persistent fistula related disorder in Bangladesh.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.14721","type":"journal-article","created":{"date-parts":[[2017,5,3]],"date-time":"2017-05-03T15:02:59Z","timestamp":1493823779000},"page":"616-622","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Quality of life among women in Bangladesh following ileal conduit urinary diversion operations for irreparable vesicovaginal fistula and bladder exstrophy: observational study"],"prefix":"10.1111","volume":"125","author":[{"given":"SH","family":"Walker","sequence":"first","affiliation":[{"name":"Department of Obstetrics &amp; Gynaecology Great Western Hospitals NHS Foundation Trust Swindon UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B","family":"Ambauen\u2010Berger","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynaecology LAMB Hospital Integrated Rural Health and Development Project Dinajpur Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"SL","family":"Saha","sequence":"additional","affiliation":[{"name":"Department of Management Information Services LAMB Hospital Integrated Rural Health and Development Project Dinajpur Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Akhter","sequence":"additional","affiliation":[{"name":"MAMM's Institute of Fistula and Women's Health Dhaka Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,6,22]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-008-0559-1"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.4103\/0976-7800.83272"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2007.06.032"},{"key":"e_1_2_6_5_1","unstructured":"WalzNK FaruqulM BegumA SultanaN SarkerS FaiselAJ.Situation analysis of obstetric fistula in Bangladesh. 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