MP49-05 RECENT TRENDS AND CHARACTERISTICS OF GENITOURINARY FISTULAS IN RWANDA

Abstract

You have accessJournal of UrologyCME1 Apr 2023MP49-05 RECENT TRENDS AND CHARACTERISTICS OF GENITOURINARY FISTULAS IN RWANDA Patricia Maymi-Castrodad, Angie Jang, Marcellus Johnson, Raj Purohit, Divine Ingabire, Margaret Catherine Fink, Fanique Simbi, Kigali Rwanda, Priyanka Gupta, and Stephanie Kielb Patricia Maymi-CastrodadPatricia Maymi-Castrodad More articles by this author , Angie JangAngie Jang More articles by this author , Marcellus JohnsonMarcellus Johnson More articles by this author , Raj PurohitRaj Purohit More articles by this author , Divine IngabireDivine Ingabire More articles by this author , Margaret Catherine FinkMargaret Catherine Fink More articles by this author , Fanique SimbiFanique Simbi More articles by this author , Kigali RwandaKigali Rwanda More articles by this author , Priyanka GuptaPriyanka Gupta More articles by this author , and Stephanie KielbStephanie Kielb More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003297.05AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Genitourinary fistulas (GU) in Rwanda have significantly increased in recent years. We previously reported an increase in the proportion of vesicouterine, vesicocervical and uterovaginal fistulas, with the majority occurring after Cesarean section. Our goal is to examine the characteristics of our the most recent cohort. METHODS: A cross-sectional study was conducted of women presenting for evaluation to the International Organization for Women and Development (IWOD) in Kigali, Rwanda, from 2018 to 2019, and 2022. No data was collected during years 2020 and 2021, due to the COVID-19 pandemic. Data was collected from medical records and included region of residence, surgical history, presence of fistula, and type. RESULTS: A total of 434 women were evaluated, of these 194 (44.7%) were diagnosed with GU fistula. In 2018, fistula types were 40 (52%) vesicovaginal, 5 (6%) urethral, 5 (6%) ureterovaginal, 23 (30%) vesicoureterine or vesicocervical, and 7 (9%) juxtacervical. In 2019, the fistula types were 26 (41%) vesicovaginal, 4 (6%) urethral, 6 (10%) ureterovaginal, 17 (27%) vesicoureterine or vesicocervical, and 10 (16%) juxtacervical. In 2022, the fistula types were 33 (61%) vesicovaginal, no urethral fistula reported, 7 (13%) ureterovaginal, 8 (15%) vesicoureterine or vesicocervical, and 6 (11%) juxtacervical. CONCLUSIONS: In comparison to our prior cohort, recent data shows a stable proportion of types of fistulas. The increased number of vesicouterine, vesicocervical, and juxtacervical fistula may be higher due to increased performance of Cesarean sections. Source of Funding: AUA Humanitarian Grant © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e679 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Patricia Maymi-Castrodad More articles by this author Angie Jang More articles by this author Marcellus Johnson More articles by this author Raj Purohit More articles by this author Divine Ingabire More articles by this author Margaret Catherine Fink More articles by this author Fanique Simbi More articles by this author Kigali Rwanda More articles by this author Priyanka Gupta More articles by this author Stephanie Kielb More articles by this author Expand All Advertisement PDF downloadLoading ...