Determinants of Post-Operative Outcomes in Fistula Repair Surgery:
A Prospective Facility-Based Study
Despite the many agencies and facilities working to address fistula, there have been no multicountry studies to collect detailed information on the factors that influence the success of fistula repair and the social causes of fistula. With few exceptions, most studies to date have collected data retrospectively in one geographic location. Thus, the results are limited to information available in the records being reviewed, and there is a lack of additional indicators that could provide a more nuanced description of fistula clients and the repair-related procedures they have undergone. Fistula Care is working in five countries (Bangladesh, Guinea, Niger, Nigeria, Uganda) to conduct a prospective study that will help answer some of the most pressing clinical research questions in the field of obstetric and traumatic fistula. Results will inform future interventions and further research in fistula treatment and prevention. This study is expected to be completed by December 2010.
Identification of Current Practices in Fistula Treatment:
A Qualitative Review
This study will catalogue information about the current clinical practices in:
the use of antibiotics before, during, and after fistula surgery.
the role of catheterization in fistula management.
management of patients with stress incontinence after fistula repair.
A total of 82 surgeons who perform fistula surgery in Africa and Asia were contacted requesting participation in the study. Questionnaires were emailed/mailed in February 2009 to 49 surgeons who agreed to complete the questionnaires. Data analysis is ongoing. The results from this study will help guide the development of protocols for one or more randomized clinical trials.