Surgery Urological and Genital Diseases Female urogenital Fistula
Conditions
Interventions
Early discharge with catheter following urogenital fistula repair
Late (standard) discharge after catheter removal following urogenital fistula repair
Sponsors
Makerere- Karolinska collaboration sponsored by sida
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: women with urogenital fistula, following surgery irrespective of route, fistula 1cm or more from external urethra orifice, surgeon has confirmed closure by negative dye test, fistula still closed by day 3-5, if consented and stable will be randomized and included in the study
Exclusion criteria
Exclusion criteria: women with both urogenital and recto-vaginal fistula, extensive fibrosis, fistula within 1cm from external urethra orifice, bladder length of less than 5cm (small capacity bladder), leakage after repair up to 3 days, fistula following malignancy, fistulas following infection, very sick patient after surgery or during surgery, those with overt infection women who come from far (transport cost more than 40,000 Uganda shillings
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| fistula closure rates | — |
Secondary
| Measure | Time frame |
|---|---|
| rates of complications: catheter blockage, post repair urethral incontinence, infections leading to readmission, acceptabilty of catheter, quality of life change in relationshipships following treatment among the 2 groups | — |
Countries
Uganda
Contacts
Public ContactJosaphat K Byamugisha
Head of Department of Obstetrics and Gynaecology
Outcome results
None listed