Table 1.
Selected Patient and Fistula Characteristics of Women Undergoing Urinary Fistula Repair Surgery
| Patient Characteristic at Enrollment | n (%) | |
|---|---|---|
| Age (n=1267) | 14–19 | 289 (22.8) |
| 20–24 | 282 (22.3) | |
| 25–34 | 363 (28.7) | |
| 35 and older | 333 (26.3) | |
|
| ||
| Median age at first marriage (IQR) (n=1172) | 15.0 (14.0– 18.0) | |
|
| ||
| Marital status (n=1256) | Single | 23 ( 1.8) |
| Married/living as if married | 830 (66.1) | |
| Divorced/separated | 341 (27.1) | |
| Widowed | 62 ( 4.9) | |
|
| ||
| Education (n=1271) | Less than primary | 720 (56.6) |
| Primary or higher | 265 (20.8) | |
| Religious (eg Koranic studies) | 286 (22.5) | |
|
| ||
| Residence (n=1264) | Rural | 1088 (86.1) |
| Semiurban (town) | 109 ( 8.6) | |
| Urban (city) | 67 (5.3) | |
|
| ||
| Primary source of income (n=1268) | Husband | 657 (51.6) |
| Relatives | 429 (33.7) | |
| Self | 164 (12.9) | |
| Other | 23 ( 1.8) | |
|
| ||
| Median Parity (IQR) (n=1231) | 2.0 (1.0–5.0) | |
|
| ||
| Median age at fistula occurrence (IQR) (n=1273) | 20.3 (17.3– 26.8) | |
|
| ||
| Event after which fistula occurred (n=1272) | Delivery | 1241 (97.6) |
| Medical procedure | 20 ( 1.6) | |
| Genital cutting | 7 ( 0.6) | |
| Sexual violence | 0 ( 0) | |
| Other | 4 ( 0.3) | |
|
| ||
| Status of baby from causative delivery (n=1243) | Baby born dead | 1088 |
| Baby born alive | (84.4) | |
| Baby died shortly after birth | 155 | |
| (12.0) | ||
| 46 (3.6) | ||
|
| ||
| Years with fistula (median, IQR) (n=961) | 1.0 (0.3–3.0) | |
|
| ||
| Had prior repair surgery (n=1271) | 294 (23.1) | |
|
| ||
| Median previous repair attempts (IQR) (n=288) | 1 (1–2) | |
|
| ||
| Fistula characteristics at surgery | ||
|
| ||
| Fistula location and type (n=1274) | Midvaginal | 369 (29.1) |
| Juxtaurethral | 276 (21.8) | |
| (multiple responses possible) | Juxtacervical | 225 (17.8) |
| Circumferential | 214 (16.8) | |
| Intracervical | 81 ( 6.4) | |
| Trigonal | 66 ( 5.2) | |
| Vault | 35 ( 2.8) | |
| Supratrigonal | 32 ( 2.5) | |
| Vesicouterine | 21 ( 1.7) | |
| Ureteric | 20 ( 1.6) | |
| Ureterovaginal | 15 ( 1.2) | |
|
| ||
| Fistula size (cm) (n=1274) | Small (smaller than 2) | 348 (28.6) |
| Medium (2–3) | 612 (50.3) | |
| Large (4–5) | 198 (16.3) | |
| Extensive (6 or longer) | 58 ( 4.8) | |
|
| ||
| Urethral involvement (n=1274) | None | 759 (59.8) |
| Partial | 281 (22.1) | |
| Complete destruction or circumferential | 226 (17.9) | |
|
| ||
| Small bladder (n=1274) | 338 (28.6) | |
|
| ||
| Scarring (n=1274) | No or mild scarring | 806 (63.4) |
| Moderate scarring | 371 (29.2) | |
| Severe scarring | 95 ( 7.5) | |
|
| ||
| More than one urinary fistula (n=1274) | 75 ( 5.9) | |
IQR, interquartile range.