Annals of Tropical Medicine and Public Health
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Year : 2013  |  Volume : 6  |  Issue : 5  |  Page : 545-548

Obstetrics fistula repairs in Kano, Northern Nigeria: The journey so far

1 Department of Obstetrics and Gynaecology, Bayero University Kano, Aminu Kano Teaching Hospital, Kano, Nigeria
2 Maternity Unit, Murtala Muhammed Specialist Hospital Kano, Kano, Nigeria

Correspondence Address:
Ibrahim Adamu Yakasai
Department of Obstetrics and Gynaecology, Bayero University Kano, Aminu Kano Teaching Hospital Kano, PMB 3452, Kano
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1755-6783.133712

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Background: Obstetric fistulae are still very common in developing countries with many patients living with this agony due to the huge backlog of untreated cases. This study aim to look at the large number of cases repaired and the good outcome they had, from a single center in Northern Nigeria, over a 12 months period, at Murtala Muhammed Specialist Hospital, Kano. Materials and Methods: We review case files of 288 patients that had fistula repair between October 2011 and September 2012. The result was analyzed using statistical Package for the Social Sciences version 18 and presented in tabular forms. Results: A total of 343 patients were seen at the center with vesicovaginal fistula, rectovaginal fistula or both. 288 (83.97%) had the repair and all were successfully closed with only 11.1% of those repaired having stress incontinence. All cases were done through the vaginal route using spinal anesthesia and had no significant surgical or anesthesia-related complications. Conclusions: We believe with good commitment and training of more fistula surgeons the reservoir of untreated patients in developing countries will reduce. Effective health education, provision of skilled birth attendant at delivery and presence of adequate obstetric emergency facilities is corners stone in obstetric fistulae prevention.

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