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Incident Rate of Vesicovaginal Fistula at Dr. Kariadi General Hospital Semarang in 2022

*Rully Zunaidhi Bahar  -  Department of Obstetrics and Gynecology, Faculty of Medicine, Diponegoro University, Dr. Kariadi General Hospial Semarang, Indonesia
Aditya Arya Putra  -  Department of Obstetrics and Gynecology, Faculty of Medicine, Diponegoro University, Dr. Kariadi General Hospial Semarang, Indonesia
Eriawan Agung Nugroho  -  Department of Urology, Faculty of Medicine, Diponegoro University, Dr. Kariadi General Hospital Semarang, Indonesia
Chemmy Wiryawan Cahyono  -  Department of General Surgery, Faculty of Medicine, Diponegoro University, Kariadi General Hospital, Indonesia, Indonesia
Erwinanto Erwinanto  -  Department of Obstetrics and Gynecology, Faculty of Medicine, Diponegoro University, Dr. Kariadi General Hospial Semarang, Indonesia
Ardy Santosa  -  Department of Urology, Faculty of Medicine, Diponegoro University, Dr. Kariadi General Hospital Semarang, Indonesia
Dimas Sindhu Wibisono  -  Department of Urology, Faculty of Medicine, Diponegoro University, Dr. Kariadi General Hospital Semarang, Indonesia
Nanda Daniswara  -  Department of Urology, Faculty of Medicine, Diponegoro University, Dr. Kariadi General Hospital Semarang, Indonesia
Sofyan Rais Addin  -  Department of Urology, Faculty of Medicine, Diponegoro University, Dr. Kariadi General Hospital Semarang, Indonesia
Open Access Copyright (c) 2023 Diponegoro International Medical Journal
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Abstract

Background: Vesicovaginal fistula (VVF) is an abnormal connection between the vesicourinaria and the vagina which causes urine to continuously leak through the vagina. The etiology of VVF fistulas has changed from being obstetric to being more hysterectomy related. While management is as early as possible appropriately and prevents further complications that can occur.

Aim: Analyzing the comparison of the characteristics of patients with VVF at Dr. Kariadi General Hospital Semarang in 2022.

Methods: The study design in this study was a retrospective descriptive observational study.

Results: During the period from 3 January to 30 December 2022, 20 patients were found with VVF. Based on the data obtained, the average age of the patients was 39.4 years. Parity in the study subjects consisted of 2 nulliparas (10%), 5 primiparas (25%) and 13 multiparas (65%). Types of fistulas in patients included 14 fistulas after gynecological surgery (70%), 4 fistulas after caesarean section (20%), 1 fistula after radiotherapy (5%) and 1 fistula after trauma (5%).

Conclusion: VVF incident in Dr. Kariadi General Hospital Semarang in 2022 were 20 cases with the majority of fistula types after gynecological surgery as many as 14 cases.  

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Keywords: Fistula, Vesicovaginal fistula, Retrospective study

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