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 ...