Breakdown of simple female genital fistula repair after 7 day versus 14 day postoperative bladder catheterisation: a randomised, controlled, open-label, non-inferiority trial

by Mark A Barone, Mariana Widmer, Steven Arrowsmith et al.
The Lancet – Online first, 21 April 2015

8 pp. 220 kB:
http://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736(14)62337-0.pdfcov200h

Obstetric fistula is a debilitating condition affecting approximately 2 million women and girls across Africa and Asia, as a result of prolonged, obstructed labour. Duration of bladder catheterisation after female genital fistula repair varies widely. The authors conclude that 7 day bladder catheterisation after repair of simple fistula is non-inferior to 14 day catheterisation and could be used for management of women after repair of simple fistula with no evidence of a significantly increased risk of repair breakdown, urinary retention, or residual incontinence up to 3 months after surgery.

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