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An RCT of early discharge with a catheter Vs late discharge after catheter removal following urogenital fistula repair among women in Mulago Hospital,

Not Applicable
Conditions
Urological and Genital Diseases
Surgery
Female urogenital Fistula
Registration Number
PACTR201306000556261
Lead Sponsor
Makerere- Karolinska collaboration sponsored by sida
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
Female
Target Recruitment
300
Inclusion Criteria

women with urogenital fistula,
following surgery irrespective of route, fistula 1cm or more from external urethra orifice,
surgeon has confirmed closure by negative dye test,
fistula still closed by day 3-5,
if consented and
stable will be randomized and included in the study

Exclusion Criteria

women with both urogenital and recto-vaginal fistula,
extensive fibrosis,
fistula within 1cm from external urethra orifice,
bladder length of less than 5cm (small capacity bladder),
leakage after repair up to 3 days,
fistula following malignancy,
fistulas following infection,
very sick patient after surgery or during surgery,
those with overt infection
women who come from far (transport cost more than 40,000 Uganda shillings

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
fistula closure rates
Secondary Outcome Measures
NameTimeMethod
rates of complications: catheter blockage, post repair urethral incontinence, infections leading to readmission, acceptabilty of catheter, quality of life change in relationshipships following treatment among the 2 groups
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