Lower genito-urinary fistulae
1Damascus Medical School, Zahrawi Hospital, Damascus, Syria. sphar.frcog@mail.sy
Summary
Genito-urinary fistulae in Syria were primarily obstetrical but shifted to gynecological causes over 42 years. Improved medical training and socio-economic conditions are crucial for reducing this public health issue.
Area of Science:
- Obstetrics and Gynecology
- Urology
- Public Health
Background:
- Genito-urinary fistulae present a significant challenge in Syria.
- Historically, obstetrical complications were the predominant cause.
Purpose of the Study:
- To analyze the etiological trends and outcomes of genito-urinary fistulae over a 42-year period in Syria.
- To identify factors contributing to the incidence of these fistulae.
Main Methods:
- Retrospective review of 120 patients diagnosed with lower genito-urinary fistulae.
- Data collected from University Maternity Hospital and Zahrawi Maternity Hospital, Damascus.
Main Results:
- Obstetrical causes (90.5%) predominated early on, mainly from obstructed labor and traumatic deliveries.
- Gynecological causes became more prevalent (57%) in the later study period.
- The overall cure rate for genito-urinary fistulae was 77%.
Conclusions:
- A shift in the primary etiology of genito-urinary fistulae from obstetrical to gynecological causes was observed.
- Sub-optimal training and socio-economic conditions contribute to the high incidence.
- Improvements in healthcare quality and socio-economic status are essential for reducing fistula rates.
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