Reflections on the knowledge base for obstetric fistula.
This article presents the reflections of an experienced fistula surgeon and an epidemiologist on the current knowledge base for obstetric fistula. The incidence, prevention, and management of vesico-vaginal and recto-vaginal fistula are discussed. The authors call for more randomized controlled trials to determine the effectiveness of surgical interventions for fistula repair.
Kelly
J
J
Department of Public Health and Epidemology, University of Birmingham, Edgbaston, Birmingham, England, B15 2TT, UK. kellyj@zoom.co.uk
Winter
H R
HR
D002986:Clinical Trials as Topic; D003906:Developing Countries; D005260:Female; D006801:Humans; D015994:Incidence; D051188:Knowledge Bases; D008429:Maternal Welfare; D007744:Obstetric Labor Complications / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D011247:Pregnancy; D012006:Rectovaginal Fistula / Q000175:diagnosis* / Q000628:therapy; D018456:Reproductive Medicine / Q000379:methods; D016896:Treatment Outcome; D013519:Urogenital Surgical Procedures; D014719:Vesicovaginal Fistula / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy