Social Demographic Characteristics of Fistula Patients at Fistula Center of Rangpur Medical College Hospital, Rangpur, Bangladesh

Abstract

Introduction: Fistulas are abnormal connection between two body parts that is not supposed to be there. Differenc types of fistulas can occur among both male and female, but obstetric fistulas are more common among women. Because of the physical, psychological, and social repercussions of urine leakage, people with Vesicovaginal Fistula become severely incapacitated. These fistulas are typically caused by hindered labor and trauma. The most prevalent kind of fistula is vesicovaginal fistula, which is a serious condition that can bring physical, emotional, and social issues for both the afflicted and their family. Fistulas are more common in underdeveloped nations. The study's goal was to look at the socio-demographic features of fistula patients in a specific area. Aim of the study: The aim of the study was to observe the social demographic characteristics of fistula patients of Rangpur region. Methods: This prospective descriptive study was conducted at the Department of Obs and Gynae, Rangpur Medical College Hospital, Rangpur, Bangladesh. The study duration was 2 years, from September 2006 to September 2008. A total of 50 patients were selected for the present study following the inclusion and exclusion criteria. Result: 60% of the patients were between the age of 21-30 years, and 38% were between 31-40 years. 62% of the precent study participants had low socio-economic status. 72% of the women were of smaller stature (≤145 cm). 84% of the patients had vesicovaginal fistula, 12% had mixed type of fistulas. 24% had associated complications. Successful outcome was observed in 84% of cases. Conclusion: The study showed that obstetric fistula is more common among the women of lower social economic class with low availability of medical facilities. Women of small stature are at higher risk of fistulas, and among the different types of fistulas, vesicovaginal fistulas are the most common.