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We collected survey data on physical and psychosocial health at surgery and at 3, 6, 9 and 12\u00a0months via mobile phone. Fistula characteristics were abstracted from medical records. All participants provided written informed consent. We present univariate analysis and linear regression results.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Across post\u2010surgical follow\u2010up, most women reported improvements in physical and psychosocial health, largely within the first 6\u00a0months. By 12\u00a0months, urinary incontinence had declined from 98% to 33% and general weakness from 33% to 17%, while excellent to good general health rose from 0% to 60%. Reintegration, self\u2010esteem and quality of life all increased through 6\u00a0months and remained stable thereafter. Reported stigma reduced, yet some negative self\u2010perception remained at 12\u00a0months (mean 17.8). Psychosocial health was significantly impacted by the report of physical symptoms; at 12\u00a0months, physical symptoms were associated with a 21.9 lower mean reintegration score (95% CI \u221230.1, \u221212.4).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our longitudinal cohort experienced dramatic improvements in physical and psychosocial health after surgery. Continuing fistula\u2010related symptoms and the substantial differences in psychosocial health by physical symptoms support additional intervention to support women's recovery or more targeted psychosocial support and reintegration services to ensure that those coping with physical or psychosocial challenges are appropriately supported.<\/jats:p><\/jats:sec>","DOI":"10.1111\/tmi.13178","type":"journal-article","created":{"date-parts":[[2018,10,29]],"date-time":"2018-10-29T20:46:17Z","timestamp":1540845977000},"page":"53-64","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":35,"title":["Trajectories of women's physical and psychosocial health following obstetric fistula repair in Uganda: a longitudinal study"],"prefix":"10.1111","volume":"24","author":[{"given":"Alison M.","family":"El Ayadi","sequence":"first","affiliation":[{"name":"Department of Obstetrics, Gynecology and Reproductive Sciences Bixby Center for Global 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