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Table 1 Select perioperative procedures and practices, by site (all women in the study, unless otherwise noted)

From: Clinical procedures and practices used in the perioperative treatment of female genital fistula during a prospective cohort study

 

Site N (%)

Characteristic

Total (n = 1354)

BG 1 (n = 85)

BG 2 (n = 50)

BG 3 (n = 5)

GU (n = 251)

NI 1 (n = 74)

NI 2 (n = 97)

NG 1 (n = 59)

NG 2 (n = 210)

NG 3 (n = 153)

UG 1 (n = 165)

UG 2 (n = 205)

Preoperative procedures

Drinking regimen prescribed (Urinary fistula only; n = 1314)

1054 (80.2)

33 (39.3)

48 (100.0)

0 (00.0)

245 (99.6)

67 (100.0)

0 (00.0)

29 (51.8)

138 (67.0)

151 (100.0)

156 (98.1)

187 (92.1)

Median liters of fluid/day prescribed (IQR) (Urinary fistula only) n = 1059)

5 (4–8)

5 (5–5)

4 (4–4)

N/A

4 (3–5)

6 (6–6)

N/A

8 (6–8)

10 (7–10)

8 (8–8)

3 (3–3)

5 (4–5)

Prophylactic antibiotics provided (n = 1340)

552 (41.2)

48 (57.1)

50 (100.0)

3 (60.0)

251 (100.0)

2 (2.9)

48 (51.6)

4 (7.0)

9 (4.3)

34 (22.37)

28 (17.0)

75 (36.6)

Intraoperative procedures

Vaginal route (n = 1341)

1278 (95.3)

72 (85.7)

48 (96.0)

5 (100.0)

243 (96.8)

69 (100.0)

92 (98.9)

55 (96.5)

209 (99.5)

153 (100.0)

138 (83.6)

194 (95.1)

Relaxing incision(s) used (n = 1261)

16 (1.3)

0 (00.0)

2 (4.3)

1 (20.0)

0 (00.0)

0 (00.0)

0 (00.0)

3 (5.5)

6 (3.0)

1 (0.7)

1 (00.7)

3 (1.6)

Bladder suture in single layer bladder (Urinary fistula only; n = 1271)

820 (64.5)

65 (80.3)

28 (59.6)

5 (100.0)

30 (12.2)

65 (97.0)

26 (32.9)

49 (89.1)

169 (84.1)

92 (61.3)

118 (80.8)

173 (89.2)

Bladder suture in double layers (Urinary fistula only; n = 1265)

428 (33.8)

15 (19.0)

19 (40.4)

0 (00.0)

215 (87.4)

1 (1.5)

53 (66.3)

3 (5.6)

17 (8.5)

58 (38.7)

24 (16.6)

23 (11.9)

Vaginal wall suture in single layer (Urinary fistula only; n = 1269)

1076 (84.8)

73 (90.1)

47 (100.0)

5 (100.0)

244 (99.2)

66 (98.5)

29 (36.7)

44 (80.0)

174 (87.4)

132 (88.0)

120 (82.2)

142 (73.2)

Vaginal wall suture in double layers (Urinary fistula only; n = 1261)

14 (1.1)

1 (1.3)

0 (00.0)

0 (00.0)

1 (0.4)

0 (00.0)

2 (2.6)

1 (1.9)

1 (0.5)

0 (00.0)

3 (2.1)

5 (2.6)

Flaps and grafts used (only Martius) (Urinary fistula only; n = 1263)

43 (3.4)

4 (5.1)

6 (12.8)

0 (00.0)

17 (6.9)

0 (00.0)

0 (00.0)

0 (00.0)

15 (7.5)

0 (00.0)

0 (00.0)

1 (0.5)

Prophylactic antibiotics provided (n = 1340)

843 (62.9)

59 (69.4)

5 (10.0)

5 (100.0)

251 (100.0)

66 (95.7)

87 (94.6)

0 (0.00)

4 (1.9)

14 (9.2)

160 (97.0)

192 (94.1)

Postoperative procedures

Median duration bed-rest prescribed (n = 1331)

1 (1–3)

2 (2–2)

0 (0–0)

0 (0–8)

5 (3–7)

1 (1–1)

3 (3–13)

1 (1–1)

1 (0–1)

1 (1–1)

1 (1–1)

3 (2–3)

Drinking regimen prescribed (Urinary fistula only; n = 1304)

1148 (88.0)

60 (74.1)

48 (100.0)

0 (00. 0)

246 (100.0)

67 (100. 0)

0 (00.0)

7 (13.0)

208 (100.0)

150 (100.0)

160 (100.0)

202 (100.0)

Median liters of fluid/day prescribed (Urinary fistula only n = 1138)

5 (4–8)

4 (3–5)

4 (4–4)

N/A

3 (3–3)

10 (10–10)

N/A

8 (6–10)

10 (10–10)

8 (8–8)

6 (6–6)

5 (5–5)

Open drainage system (Urinary fistula only; n = 1310)

899 (68.6)

0 (00.0)

0 (00.0)

1 (20.0)

95 (38.6)

67 (100.0)

0 (00.0)

41 (74.5)

203 (100. 0)

151 (100. 0)

147 (91.9)

194 (95.6)

Median days of catheterization (IQR) (Urinary fistula only; n = 1294)

21.0 (14–27)

21.0 (17–21)

14.0 (14–20)

14.0 (14–14)

15.0 (14–21)

28.0 (28–28)

14.0 (13–15)

29.0 (28–34)

23.0 (21–28)

28.0 (28–28)

14.0 (14–21)

15.0 (14–16)

Bladder training performed (Urinary fistula only; n = 1305)

670 (51.3)

23 (28.4)

7 (14.6)

1 (20.0)

79 (32.1)

44 (65.7)

0 (00.0)

28 (51.9)

13 (6.3)

121 (80.1)

159 (100.0)

195 (96.1)

Pelvic floor exercises performed (Urinary fistula only; n = 1308)

1118 (85.5)

62 (73.8)

12 (25.5)

5 (100.0)

226 (91.9)

48 (72.7)

0 (00.0)

53 (96.4)

202 (97.1)

150 (100.0)

158 (98.8)

202 (100.0)

Prophylactic antibiotics provided (n = 1330)

1150 (86.5)

77 (93.9)

5 (10.0)

2 (40.0)

251 (100.0)

66 (97.1)

87 (100.0)

10 (17.86)

210 (100.0)

153 (100.0)

165 (100.0)

124 (61.1)

  1. BG = Bangladesh, GU = Guinea, NI = Niger, NG = Nigeria, UG = Uganda.
  2. N/A = Not applicable.