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Urogenital fistula

MedGen UID:
163124
•Concept ID:
C0853877
•
Anatomical Abnormality
Synonyms: Fistula of genitourinary tract; Genitourinary Fistula; Urogenital Fistula
SNOMED CT: Fistula of genitourinary tract (735476006); Urogenital fistula (735476006)
 
HPO: HP:0100589

Definition

The presence of a fistula affecting the genitourinary system. [from HPO]

Professional guidelines

PubMed

Incidence of gynecological fistula and its surgical treatment: A national registry-based study.
Børseth KF, Acharya G, Kiserud T, Trovik J
Acta Obstet Gynecol Scand 2019 Sep;98(9):1120-1126. Epub 2019 Apr 21 doi: 10.1111/aogs.13611. PMID: 30891735
Diagnosis and management of 365 ureteric injuries following obstetric and gynecologic surgery in resource-limited settings.
Raassen TJIP, Ngongo CJ, Mahendeka MM
Int Urogynecol J 2018 Sep;29(9):1303-1309. Epub 2017 Oct 11 doi: 10.1007/s00192-017-3483-4. PMID: 29022054Free PMC Article
The Aetiology, Treatment, and Outcome of Urogenital Fistulae Managed in Well- and Low-resourced Countries: A Systematic Review.
Hillary CJ, Osman NI, Hilton P, Chapple CR
Eur Urol 2016 Sep;70(3):478-92. Epub 2016 Feb 24 doi: 10.1016/j.eururo.2016.02.015. PMID: 26922407

Recent clinical studies

Etiology

Etiology and factors associated with urogenital fistula among women who have undergone cesarean section: a cross-sectional study.
Maroyi R, Moureau MK, Brown HW, Ajay R, Byabene G, Mukwege DM
BMC Pregnancy Childbirth 2023 Jan 23;23(1):54. doi: 10.1186/s12884-023-05357-3. PMID: 36690977Free PMC Article
Anatomical and functional outcomes of non-obstetric urogenital fistula repair.
Pushkar D, Kasyan G, Sheripbaev R, Mukhtarov S, Tikhonova L
Int Urogynecol J 2022 Nov;33(11):3221-3229. Epub 2022 Mar 7 doi: 10.1007/s00192-021-05073-6. PMID: 35254468
Vesico-Vaginal Fistula in Females in 2010-2020: a Systemic Review and Meta-analysis.
Shrestha DB, Budhathoki P, Karki P, Jha P, Mainali G, Dangal G, Baral G, Shrestha M, Gyawali P
Reprod Sci 2022 Dec;29(12):3346-3364. Epub 2022 Jan 3 doi: 10.1007/s43032-021-00832-8. PMID: 34981462
Evaluation of etiology, characteristics, and treatment of patients with vesicovaginal fistula observed in rural Africa.
Akpak YK, Yenidede I, Kilicci C
J Gynecol Obstet Hum Reprod 2021 Jun;50(6):101879. Epub 2020 Jul 23 doi: 10.1016/j.jogoh.2020.101879. PMID: 32712179
Profile and outcome of patients with recurrent urogenital fistula in a fistula centre in Nigeria.
Okunola TO, Yakubu E, Daniyan B, Ekwedigwe K, Eliboh M, Sunday-Adeoye I
Int Urogynecol J 2019 Feb;30(2):197-201. Epub 2018 Aug 10 doi: 10.1007/s00192-018-3738-8. PMID: 30097667

Diagnosis

Youssef syndrome with a summary of management options.
Bahadur A, Ravi AK, Ajmani M, Mundhra R
BMJ Case Rep 2021 Aug 10;14(8) doi: 10.1136/bcr-2021-244247. PMID: 34376422Free PMC Article
Incidence of gynecological fistula and its surgical treatment: A national registry-based study.
Børseth KF, Acharya G, Kiserud T, Trovik J
Acta Obstet Gynecol Scand 2019 Sep;98(9):1120-1126. Epub 2019 Apr 21 doi: 10.1111/aogs.13611. PMID: 30891735
Diagnosis and management of 365 ureteric injuries following obstetric and gynecologic surgery in resource-limited settings.
Raassen TJIP, Ngongo CJ, Mahendeka MM
Int Urogynecol J 2018 Sep;29(9):1303-1309. Epub 2017 Oct 11 doi: 10.1007/s00192-017-3483-4. PMID: 29022054Free PMC Article
Changing trends in the etiology and management of vesicovaginal fistula.
Malik MA, Sohail M, Malik MT, Khalid N, Akram A
Int J Urol 2018 Jan;25(1):25-29. Epub 2017 Aug 1 doi: 10.1111/iju.13419. PMID: 28762575
Urogenital fistula.
Wong MJ, Wong K, Rezvan A, Tate A, Bhatia NN, Yazdany T
Female Pelvic Med Reconstr Surg 2012 Mar-Apr;18(2):71-8; quiz 78. doi: 10.1097/SPV.0b013e318249bd20. PMID: 22453314

Therapy

Etiology and factors associated with urogenital fistula among women who have undergone cesarean section: a cross-sectional study.
Maroyi R, Moureau MK, Brown HW, Ajay R, Byabene G, Mukwege DM
BMC Pregnancy Childbirth 2023 Jan 23;23(1):54. doi: 10.1186/s12884-023-05357-3. PMID: 36690977Free PMC Article
Vesico-Vaginal Fistula in Females in 2010-2020: a Systemic Review and Meta-analysis.
Shrestha DB, Budhathoki P, Karki P, Jha P, Mainali G, Dangal G, Baral G, Shrestha M, Gyawali P
Reprod Sci 2022 Dec;29(12):3346-3364. Epub 2022 Jan 3 doi: 10.1007/s43032-021-00832-8. PMID: 34981462
Changing trends in the etiology and management of vesicovaginal fistula.
Malik MA, Sohail M, Malik MT, Khalid N, Akram A
Int J Urol 2018 Jan;25(1):25-29. Epub 2017 Aug 1 doi: 10.1111/iju.13419. PMID: 28762575
The Aetiology, Treatment, and Outcome of Urogenital Fistulae Managed in Well- and Low-resourced Countries: A Systematic Review.
Hillary CJ, Osman NI, Hilton P, Chapple CR
Eur Urol 2016 Sep;70(3):478-92. Epub 2016 Feb 24 doi: 10.1016/j.eururo.2016.02.015. PMID: 26922407
Urogenital fistula.
Wong MJ, Wong K, Rezvan A, Tate A, Bhatia NN, Yazdany T
Female Pelvic Med Reconstr Surg 2012 Mar-Apr;18(2):71-8; quiz 78. doi: 10.1097/SPV.0b013e318249bd20. PMID: 22453314

Prognosis

Anatomical and functional outcomes of non-obstetric urogenital fistula repair.
Pushkar D, Kasyan G, Sheripbaev R, Mukhtarov S, Tikhonova L
Int Urogynecol J 2022 Nov;33(11):3221-3229. Epub 2022 Mar 7 doi: 10.1007/s00192-021-05073-6. PMID: 35254468
Risk factors for early and late failures following repair of urogenital fistulas.
Holt L, Potluri T, Tanner JP, Duffy S, Wasingya L, Greene K
Int Urogynecol J 2021 Sep;32(9):2473-2482. Epub 2021 Jan 8 doi: 10.1007/s00192-020-04606-9. PMID: 33416963
Incidence of gynecological fistula and its surgical treatment: A national registry-based study.
Børseth KF, Acharya G, Kiserud T, Trovik J
Acta Obstet Gynecol Scand 2019 Sep;98(9):1120-1126. Epub 2019 Apr 21 doi: 10.1111/aogs.13611. PMID: 30891735
Bladder spasm following urogenital fistula repair.
Ekwedigwe KC, Isikhuemen ME, Sunday-Adeoye I, Yakubu EN, Eliboh MO
Int J Gynaecol Obstet 2017 Sep;138(3):299-303. Epub 2017 Jun 21 doi: 10.1002/ijgo.12226. PMID: 28574159
Urogenital fistula.
Wong MJ, Wong K, Rezvan A, Tate A, Bhatia NN, Yazdany T
Female Pelvic Med Reconstr Surg 2012 Mar-Apr;18(2):71-8; quiz 78. doi: 10.1097/SPV.0b013e318249bd20. PMID: 22453314

Clinical prediction guides

Anatomical and functional outcomes of non-obstetric urogenital fistula repair.
Pushkar D, Kasyan G, Sheripbaev R, Mukhtarov S, Tikhonova L
Int Urogynecol J 2022 Nov;33(11):3221-3229. Epub 2022 Mar 7 doi: 10.1007/s00192-021-05073-6. PMID: 35254468
Evaluation of etiology, characteristics, and treatment of patients with vesicovaginal fistula observed in rural Africa.
Akpak YK, Yenidede I, Kilicci C
J Gynecol Obstet Hum Reprod 2021 Jun;50(6):101879. Epub 2020 Jul 23 doi: 10.1016/j.jogoh.2020.101879. PMID: 32712179
Rising trends in iatrogenic urogenital fistula: A new challenge.
Tasnim N, Bangash K, Amin O, Luqman S, Hina H
Int J Gynaecol Obstet 2020 Jan;148 Suppl 1(Suppl 1):33-36. doi: 10.1002/ijgo.13037. PMID: 31943186Free PMC Article
Panzi score as a parsimonious indicator of urogenital fistula severity derived from Goh and Waaldijk classifications.
Mukwege D, Peters L, Amisi C, Mukwege A, Smith AR, Miller JM
Int J Gynaecol Obstet 2018 Aug;142(2):187-193. Epub 2018 May 22 doi: 10.1002/ijgo.12514. PMID: 29705989Free PMC Article
Effect of HIV infection on outcomes after surgical repair of genital fistula.
Shephard SN, Lengmang SJ, Anzaku SA, Mamven OV, Kirschner CV
Int J Gynaecol Obstet 2017 Sep;138(3):293-298. Epub 2017 Jun 28 doi: 10.1002/ijgo.12233. PMID: 28602050

Recent systematic reviews

Vesico-Vaginal Fistula in Females in 2010-2020: a Systemic Review and Meta-analysis.
Shrestha DB, Budhathoki P, Karki P, Jha P, Mainali G, Dangal G, Baral G, Shrestha M, Gyawali P
Reprod Sci 2022 Dec;29(12):3346-3364. Epub 2022 Jan 3 doi: 10.1007/s43032-021-00832-8. PMID: 34981462
Consequences of obstetric fistula in sub Sahara African countries, from patients' perspective: a systematic review of qualitative studies.
Bashah DT, Worku AG, Mengistu MY
BMC Womens Health 2018 Jun 20;18(1):106. doi: 10.1186/s12905-018-0605-1. PMID: 29925358Free PMC Article
The Aetiology, Treatment, and Outcome of Urogenital Fistulae Managed in Well- and Low-resourced Countries: A Systematic Review.
Hillary CJ, Osman NI, Hilton P, Chapple CR
Eur Urol 2016 Sep;70(3):478-92. Epub 2016 Feb 24 doi: 10.1016/j.eururo.2016.02.015. PMID: 26922407

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