Women with obstetric fistula in Ethiopia: a 6‐month follow up after surgical treatment

OBJECTIVE: To quantify surgical and quality of life outcomes 6 months after obstetric fistula repair. DESIGN: A prospective study. Women were examined and questioned at discharge and at follow-up appointment. SETTING: The Barhirdar Hamlin Fistula Centre, a dedicated unit treating women with obstetric fistula in northern Ethiopia. POPULATION: All women admitted to the Barhirdar Hamlin Fistula Centre suffering from vesicovaginal (WF) and rectovaginal fistulae (RVF). METHODS: All women were asked to return for a follow-up appointment 6 months after surgical treatment. A standardised questionnaire and examination were used and information entered into a database. MAIN OUTCOMES MEASURES: Urinary and anal continence status; extent of return to previous family situation, employment, social activities and reproductive capabilities. RESULTS: Continence status at discharge was largely maintained at 6 months and quality of life was improved. Many of those incontinent on discharge improved; a small number apparently cured at discharge had later recurrence of incontinence. CONCLUSIONS: Surgical treatment for obstetric fistula is successful in maintaining continence and improving quality of life of women at 6-months follow up.