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. Author manuscript; available in PMC: 2013 Sep 1.
Published in final edited form as: Obstet Gynecol. 2012 Sep;120(3):524–531. doi: 10.1097/AOG.0b013e31826579e8

Table 3.

Bivariable and Multivariable Predictors of Failure of Fistula Closure and Residual Incontinence at 3 Months Postrepair

Relative Risk (95%CI) Adjusted Risk Ratio*(95%CI)

Predictors of fistula closure

Midvaginal 0.74 (0.56–0.99) 0.93 (0.72–1.21)

Intracervical fistula 0.69 (0.49–0.98) 1.03 (0.73–1.45)

Supratrigonal 0.69 (0.44–1.06) 0.97 (0.68–1.39)

Small bladder 2.08 (1.52–2.83) 1.57 (1.39–1.79)

Prior repair 1.53 (1.23–1.90) 1.40 (1.11–1.76)

Scarring
 None or mild Ref Ref
 Moderate 1.53 (1.02–2.28) 1.15 (0.89–1.49)
 Severe 2.79 (1.81–4.28) 1.56 (1.20–2.04)

Urethral involvement
 None Ref Ref
 Partial 1.55 (1.28–1.88) 1.36 (1.11–1.66)
 Complete destruction or circumferential 2.34 (1.72–3.16) 1.72 (1.33–2.23)

More than one urinary fistula 1.68 (1.11–2.53) 1.39 (0.95–2.03)

Fistula size (diameter greater than 4 cm) 1.59 (1.07–2.35) 0.81 (0.61–1.07)

Ureter involvement 1.52 (1.06–2.18) 1.01 (0.83–1.25)

Surgeon conductedmore than 200 complex repairs 1.27 (1.02–1.58) 0.97 (0.72–1.30)

Predictors of residual incontinence

Prior repair 1.27 (1.03–1.56) 1.37 (1.13–1.65)

Scarring
 None or mild Ref Ref
 Moderate 1.36 (1.03–1.80) 1.09 (0.84–1.42)
 Severe 2.18 (1.81–2.62) 1.35 (1.10–1.67)

Urethral involvement
 None Ref Ref
 Partial 1.82 (1.41–2.34) 1.78 (1.27–2.48)
 Complete destruction or circumferential 2.33 (1.72–3.16) 2.06 (1.51–2.81)

Small bladder 1.65 (1.27– 2.14) 1.22 (1.00–1.49)

Surgeon conducted more than 200 complex repairs 1.31 (0.93–1.85) 1.11 (0.77–1.59)

CI, confidence interval.

*

Each variable was adjusted for all other variables listed in the table