Outcome of Urogenital Fistula at National Fistula Centre of Dhaka Medical College Hospital, Bangladesh

Authors

  • Sharmeen Sultana Medical officer, Dept. of Gynecology and Obstetrics, Sir Salimullah Medical College and Mitford Hospital, Dhaka, Bangladesh
  • Nilufar Sultana Professor and Head (Ex), Dept. of Reproductive Endocrinology and Infertility, Dhaka Medical College Hospital, Dhaka, Bangladesh
  • Sayem Hossain Medical officer, Dept. of Nephrology, Dhaka Medical College Hospital, Dhaka
  • Md Tanuwar Islam Chowdhury Medical officer, Dept. of Medicine, Shaheed Suhrawardy Medical College Hospital, Dhaka, Bangladesh
  • Sirajam Munira Medical officer, Dept. of Surgical Gastroenterology, National Gastroliver Institute and Hospital, Mohakhali, Dhaka
  • Rukshana Jalil Junior Consultant, Dept. of Gynecology and Obstetrics, Shaheed Suhrawardy Medical College Hospital, Dhaka, Bangladesh
  • Mohammad Abdul Barek Emergency Medical Officer, Sir Salimullah Medical College and Mitford Hospital, Dhaka, Bangladesh
  • Moriom Binte Haque Assistant Registrar, Dept. of Gynecology and Obstetrics, Manikgonj Medical College and Hospital, Manikgonj

DOI:

https://doi.org/10.3329/jawmc.v13i2.87669

Keywords:

Obstetrics Fistula, Surgical Outcome, Urogenital Fistula, Iatrogenic Fistula

Abstract

Background: Urogenital fistula (UGF) commonly results from prolonged obstructed labour or inadvertent surgical injuries during obstetric and gynecological procedures. Despite being preventable, UGF remains a significant cause of morbidity among reproductive age women.
Objective: This study aimed to evaluate the clinical pro le and surgical outcomes of UGF patients treated at the National Fistula Centre (NFC), Dhaka Medical College Hospital.
Materials and Methods: A retrospective observational study was conducted on 100 patients who underwent surgical repair for UGF at the NFC between January 2017 December 2019. Patients with carcinoma, radiation-induced, congenital, traumatic fistulas, rectovaginal fistulas, or complete perineal tears were excluded. Data were collected using a semi structured questionnaire and analyzed using SPSS 25.
Result: Of the 100 cases, 47 were obstetric fistulas (Group A), 16 were iatrogenic fistulas following obstetric surgery (Group B1), and 37 were iatrogenic fistulas following gynecological surgery (Group B2). All were vesicovaginal fistulas : midvaginal (43%) in Group A, juxtacervical (56%) in Group B1, and vault (100%) in Group B2. Most fistulas were small (<2 cm) and single. Successful closure (“closed and dry”) was achieved in 70.2%, 62.5%, and 89.2% of Groups A, B1, and B2, respectively. Significant differences were observed between Groups A and B2 (p = 0.035). Multivariable analysis identified etiology, location, size, and circumferential defect as predictors of success. Gynecologic iatrogenic fistulas had higher odds of successful repair (AOR 3.28, 95% CI 1.12–9.63, p = 0.030).
Conclusion: Surgical outcomes for obstetric and obstetric surgery-related fistulas were comparable, while gynecologic surgery-related fistulas demonstrated significantly better success rates, emphasizing the importance of individualized surgical planning to optimize repair outcomes.

The Journal of Ad-din Women's Medical College; Vol. 13 (2), July 2025; p 31-40

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Published

2026-02-08

How to Cite

Sultana, S., Sultana, N., Hossain, S., Chowdhury, M. T. I., Munira, S., Jalil, R., … Haque, M. B. (2026). Outcome of Urogenital Fistula at National Fistula Centre of Dhaka Medical College Hospital, Bangladesh. The Journal of Ad-Din Women’s Medical College , 13(2), 31–40. https://doi.org/10.3329/jawmc.v13i2.87669

Issue

Vol. 13 No. 2 (2025)

Section

Original Article

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