Surgical Outcomes of Lower Genitourinary Fistula Repair: A Prospective Cohort Study From an Indian Tertiary Hospital
Mughakato H Sema, Vivek Singh, Mohd. Rehan Akhtar, Jitender Yadav, Sumit Pal, Mukul K Singh, Vishwajeet Singh · 2025
Read Surgical Outcomes of Lower Genitourinary Fistula Repair: A Prospective Cohort Study From an Indian Tertiary Hospital by Mughakato H Sema, Vivek Singh, Mohd. Rehan Akhtar, Jitender Yadav, Sumit Pal, Mukul K Singh, Vishwajeet Singh (2025) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-12743291.txt.
Description
A fistula between the urinary tract and the vagina leaves a woman leaking urine without pause, and surgery is the cure. Mughakato Sema and co-authors follow 104 women treated at an Indian hospital, most with vesicovaginal fistulas and the rest with rarer types linking the ureter, uterus, or urethra. Surgeons chose among keyhole, open abdominal, and vaginal routes, matched to each fistula's site, size, and complexity.
Three months later, 93.3 percent of the repairs had closed. For the main fistula type, success was even across the three routes: 90 percent by keyhole surgery, 94.1 percent open, and 92.6 percent through the vagina. Every case of the rarer types closed. The vaginal route took the least operating time, while keyhole surgery cut blood loss and hospital stay. Problems appeared only in the main group. The authors advise tailoring the route to the fistula rather than naming one best way.
Catalog record
| CREATOR | Mughakato H Sema, Vivek Singh, Mohd. Rehan Akhtar, Jitender Yadav, Sumit Pal, Mukul K Singh, Vishwajeet Singh |
|---|---|
| YEAR | 2025 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 38 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |