Predictors of outcomes in patients with repeat surgery for obstetric fistula: a retrospective review.
Lennart P MaljaarsHelai HeshamHiske HuismanWilliam NundweJan-Paul W R RooversRachel J PopePublished in: International urogynecology journal (2023)
Absence of urethral involvement is an independent predictor for successful outcomes in repeat surgery for obstetric fistulas. Even in the hands of an expert surgeon, the risk of another failure in achieving anatomical closure or subjective or objective continence is between 4 and 5 times higher than when the urethra is not involved.