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Determining the Psychiatric Morbidity among Subjects with Vesicovaginal Fistula in Abakaliki, South East Nigeria | Chapter 16 | Highlights on Medicine and Medical Science Vol. 18

Background: Those who are affected by vesicovaginal fistula (VVF) face great obstacles. VVF has a negative impact on a woman's personal hygiene, self-esteem, interpersonal interactions, and environment, causing her health to suffer. Subjects may struggle to cope and, as a result, develop certain mental diseases. The goal of this study was to assess the psychological morbidity and sociodemographic correlations in VVF patients. Materials and Methods: A total of 100 VVF patients were gathered from the National Obstetric Fistula Centre in Abakaliki, Nigeria. The socio-demographic features of the participants were assessed using a socio–demographic and clinical history questionnaire. The GHQ–28 version of the General Health Questionnaire was used to screen for psychiatric morbidity, with a cut-off point of 5 indicating psychiatric caseness. The Present State Examination (PSE) component of the Schedule for Clinical Assessment in Neuropsychiatry was used to interview all subjects who ...

Pattern and Outcome of Iatrogenic Genitourinary Fistula from Obstetric and Gynaecological Surgeries in a Tertiary Institution, North-Western Nigeria | Chapter 04 | Emerging Research in Medical Sciences Vol. 1

Introduction: Genitourinary fistula is commonly caused by prolonged obstructed labour; however, not all genitourinary fistulas are obstetric in origin. Inadvertent injuries to the urinary tract leading to fistulae do occur during obstetric and gynaecological procedures because of the close anatomical relationship between the urinary tract and the genital tract. Objectives: This study aims to determine the prevalence, aetiology and outcome of iatrogenic genitourinary fistula repair at the National Obstetric Fistula Centre, Katsina (NOFIC). Methodology: This was a two-year retrospective review of all patients who had surgery for iatrogenic fistula between 1 st January 2015 and 31 st December 2016 at NOFIC, Katsina. All patient case notes on this procedure during the stated period were retrieved and analysed. Results: A total of 728 genitourinary fistula surgeries were carried out in the Centre, out of which 117 (16.1%) were repairs for iatrogenic fistulae, giving ...