Clinical Characteristics of Urogenital Fistulas in PMCH Nawabshah: A Cross-sectional Study

Objective: To analyze the clinical characteristics of urogenital fistulas reported at PMCH Nawabshah.

Methodology: A cross-sectional study, concluded in three years from January 2018 to December, 2020 in all ages patients with urogenital fistulas (UGF). The referred cases of UGF to gynecology and Urology Departments of the PMCH Nawabshah. The females with UGF results after elective caesarean section and gynecologic surgery including hysterectomy, prolapse repair and myomectomy were included whereas patients with UGF results due to other operative measures which includes emergency caesarian section, traumatic and congenital were excluded from this study. The data were analyzed thru SPSS version 22.0.

Results: Total 247 patients were included in present study. The age of patients were 20 years to 66 years with mean age 38.99+SD7.992. Frequency and percentages of different variables that were included in this study were for the demographic and co morbidities. Majority of patients were from rural setup, house wives having low education profile, belonging to low socioeconomically and educational status. DM and HTN were the common co-morbidities observed in study population. The different frequencies and percentages were calculated for the different surgical procedure adopted before the development of fistulas, UVF and OF was assessed in different procedures. Hysterectomies was most common surgical procedure than C/S and others. P value was statistically insignificant here 0.696. Wound infections were also seen in post operated cases with high ratios due to contaminations; wound infection was present in 20.6% cases, which was very high.

Conclusion: Present study revealed that the many of urogenital fistulas treated and repaired patients at our hospital setup, associated with iatrogenic obstetric origin and no any patients of UGF associated with obstructed laboras it is contrasting with other developing countries. Recorded fistulas were cured after the first surgical repair.