The ethical and technical aspects of urinary diversions in low‐resource settings: a commentary
Obstetric fistula as a result of obstructed labour is still a vexing problem in low-resource settings. Surgery is typically the only successful treatment. Up to 86% of women are successfully repaired on the first surgical attempt; however, a minimum of 10-15% will have either a residual fistula or r...
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| Veröffentlicht in: | BJOG : an international journal of obstetrics and gynaecology 2016-07, Vol.123 (8), p.1273-1277 |
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| container_title | BJOG : an international journal of obstetrics and gynaecology |
| container_volume | 123 |
| creator | Wilkinson, J Pope, R Kammann, TJ Scarpato, K Raassen, TJIP Bishop, MC Morgan, M Cartmell, MT Chipungu, E Sion, M Weinstein, M Lengmang, SJ Mabeya, H Smith, J |
| description | Obstetric fistula as a result of obstructed labour is still a vexing problem in low-resource settings. Surgery is typically the only successful treatment. Up to 86% of women are successfully repaired on the first surgical attempt; however, a minimum of 10-15% will have either a residual fistula or residual pelvic floor disorders, such as stress incontinence. A woman can be deemed to be 'irreparable' as a result of the primary injury or after subsequent repairs. The only option available for cure is urinary diversion. Urinary diversions involve greater levels of intra-operative and post-operative risks when compared with standard vaginal surgery. There are numerous medical, ethical and cultural issues to consider, all of which are magnified in low-resource settings. |
| doi_str_mv | 10.1111/1471-0528.13934 |
| format | Article |
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| source | Wiley Online Library Journals Frontfile Complete |
| subjects | Births Obstetrics Surgery Urogenital system |
| title | The ethical and technical aspects of urinary diversions in low‐resource settings: a commentary |
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