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