Table 1.
Select perioperative procedures and practices, by site (all women in the study, unless otherwise noted)
| |
Site N (%) |
|||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Characteristic | Total (n = 1354) | BG 1 (n = 85) | BG 2 (n = 50) | BG 3 (n = 5) | GU (n = 251) | NI 1 (n = 74) | NI 2 (n = 97) | NG 1 (n = 59) | NG 2 (n = 210) | NG 3 (n = 153) | UG 1 (n = 165) | UG 2 (n = 205) |
| Preoperative procedures | ||||||||||||
| Drinking regimen prescribed (Urinary fistula only; n = 1314) |
1054 (80.2) |
33 (39.3) |
48 (100.0) |
0 (00.0) |
245 (99.6) |
67 (100.0) |
0 (00.0) |
29 (51.8) |
138 (67.0) |
151 (100.0) |
156 (98.1) |
187 (92.1) |
| Median liters of fluid/day prescribed (IQR) (Urinary fistula only) n = 1059) |
5 (4–8) |
5 (5–5) |
4 (4–4) |
N/A |
4 (3–5) |
6 (6–6) |
N/A |
8 (6–8) |
10 (7–10) |
8 (8–8) |
3 (3–3) |
5 (4–5) |
| Prophylactic antibiotics provided (n = 1340) |
552 (41.2) |
48 (57.1) |
50 (100.0) |
3 (60.0) |
251 (100.0) |
2 (2.9) |
48 (51.6) |
4 (7.0) |
9 (4.3) |
34 (22.37) |
28 (17.0) |
75 (36.6) |
| Intraoperative procedures | ||||||||||||
| Vaginal route (n = 1341) |
1278 (95.3) |
72 (85.7) |
48 (96.0) |
5 (100.0) |
243 (96.8) |
69 (100.0) |
92 (98.9) |
55 (96.5) |
209 (99.5) |
153 (100.0) |
138 (83.6) |
194 (95.1) |
| Relaxing incision(s) used (n = 1261) |
16 (1.3) |
0 (00.0) |
2 (4.3) |
1 (20.0) |
0 (00.0) |
0 (00.0) |
0 (00.0) |
3 (5.5) |
6 (3.0) |
1 (0.7) |
1 (00.7) |
3 (1.6) |
| Bladder suture in single layer bladder (Urinary fistula only; n = 1271) |
820 (64.5) |
65 (80.3) |
28 (59.6) |
5 (100.0) |
30 (12.2) |
65 (97.0) |
26 (32.9) |
49 (89.1) |
169 (84.1) |
92 (61.3) |
118 (80.8) |
173 (89.2) |
| Bladder suture in double layers (Urinary fistula only; n = 1265) |
428 (33.8) |
15 (19.0) |
19 (40.4) |
0 (00.0) |
215 (87.4) |
1 (1.5) |
53 (66.3) |
3 (5.6) |
17 (8.5) |
58 (38.7) |
24 (16.6) |
23 (11.9) |
| Vaginal wall suture in single layer (Urinary fistula only; n = 1269) |
1076 (84.8) |
73 (90.1) |
47 (100.0) |
5 (100.0) |
244 (99.2) |
66 (98.5) |
29 (36.7) |
44 (80.0) |
174 (87.4) |
132 (88.0) |
120 (82.2) |
142 (73.2) |
| Vaginal wall suture in double layers (Urinary fistula only; n = 1261) |
14 (1.1) |
1 (1.3) |
0 (00.0) |
0 (00.0) |
1 (0.4) |
0 (00.0) |
2 (2.6) |
1 (1.9) |
1 (0.5) |
0 (00.0) |
3 (2.1) |
5 (2.6) |
| Flaps and grafts used (only Martius) (Urinary fistula only; n = 1263) |
43 (3.4) |
4 (5.1) |
6 (12.8) |
0 (00.0) |
17 (6.9) |
0 (00.0) |
0 (00.0) |
0 (00.0) |
15 (7.5) |
0 (00.0) |
0 (00.0) |
1 (0.5) |
| Prophylactic antibiotics provided (n = 1340) |
843 (62.9) |
59 (69.4) |
5 (10.0) |
5 (100.0) |
251 (100.0) |
66 (95.7) |
87 (94.6) |
0 (0.00) |
4 (1.9) |
14 (9.2) |
160 (97.0) |
192 (94.1) |
| Postoperative procedures | ||||||||||||
| Median duration bed-rest prescribed (n = 1331) |
1 (1–3) |
2 (2–2) |
0 (0–0) |
0 (0–8) |
5 (3–7) |
1 (1–1) |
3 (3–13) |
1 (1–1) |
1 (0–1) |
1 (1–1) |
1 (1–1) |
3 (2–3) |
| Drinking regimen prescribed (Urinary fistula only; n = 1304) |
1148 (88.0) |
60 (74.1) |
48 (100.0) |
0 (00. 0) |
246 (100.0) |
67 (100. 0) |
0 (00.0) |
7 (13.0) |
208 (100.0) |
150 (100.0) |
160 (100.0) |
202 (100.0) |
| Median liters of fluid/day prescribed (Urinary fistula only n = 1138) |
5 (4–8) |
4 (3–5) |
4 (4–4) |
N/A |
3 (3–3) |
10 (10–10) |
N/A |
8 (6–10) |
10 (10–10) |
8 (8–8) |
6 (6–6) |
5 (5–5) |
| Open drainage system (Urinary fistula only; n = 1310) |
899 (68.6) |
0 (00.0) |
0 (00.0) |
1 (20.0) |
95 (38.6) |
67 (100.0) |
0 (00.0) |
41 (74.5) |
203 (100. 0) |
151 (100. 0) |
147 (91.9) |
194 (95.6) |
| Median days of catheterization (IQR) (Urinary fistula only; n = 1294) |
21.0 (14–27) |
21.0 (17–21) |
14.0 (14–20) |
14.0 (14–14) |
15.0 (14–21) |
28.0 (28–28) |
14.0 (13–15) |
29.0 (28–34) |
23.0 (21–28) |
28.0 (28–28) |
14.0 (14–21) |
15.0 (14–16) |
| Bladder training performed (Urinary fistula only; n = 1305) |
670 (51.3) |
23 (28.4) |
7 (14.6) |
1 (20.0) |
79 (32.1) |
44 (65.7) |
0 (00.0) |
28 (51.9) |
13 (6.3) |
121 (80.1) |
159 (100.0) |
195 (96.1) |
| Pelvic floor exercises performed (Urinary fistula only; n = 1308) |
1118 (85.5) |
62 (73.8) |
12 (25.5) |
5 (100.0) |
226 (91.9) |
48 (72.7) |
0 (00.0) |
53 (96.4) |
202 (97.1) |
150 (100.0) |
158 (98.8) |
202 (100.0) |
| Prophylactic antibiotics provided (n = 1330) | 1150 (86.5) | 77 (93.9) | 5 (10.0) | 2 (40.0) | 251 (100.0) | 66 (97.1) | 87 (100.0) | 10 (17.86) | 210 (100.0) | 153 (100.0) | 165 (100.0) | 124 (61.1) |
BG = Bangladesh, GU = Guinea, NI = Niger, NG = Nigeria, UG = Uganda.
N/A = Not applicable.