Urinary and @entity322 following delayed primary XXXX .

@entity1 @entity322 @entity1494 @entity12478 @entity789 @entity292 @entity790
OBJECTIVE: To evaluate: (1) the factors associated with the development of @entity790 , (2) the incidence of urinary and @entity322 following closure of the @entity292 and (3) the urodynamic findings in @entity1 with persistent @entity322 . DESIGN: An observational clinical study. SETTING: A specialised @entity292 unit in a developing country. POPULATION: @entity1 following successful anatomical closure of @entity790 . METHODS: Fifty-five @entity1 were enrolled from the Fistula Hospital in Ethiopia, following obstetric @entity292 repair. Their case records were reviewed and details regarding (1) antecedent obstetric factors, (2) the site, size and type of @entity292 and (3) pre-operative @entity1494 mobility and vaginal scarring were recorded. All @entity1 were questioned regarding symptoms of @entity322 . @entity1 reporting @entity322 following @entity292 repair underwent urodynamic investigations. MAIN OUTCOME MEASURES: Clinical and urodynamic assessment. RESULTS: The mean age of the @entity1 was 23 years (range 16-45 years). The @entity292 in 38 @entity1 (69%) followed the first delivery and in 17 @entity1 (31%) following a subsequent delivery. The mean duration of labour was four days (range 1-9 days). Forty-four @entity1 (80%) had an isolated @entity789 and 11 (20%) had a combined vesico-vaginal and @entity12478 . The mean diameter of the @entity292 was 2.9 cm (0.5-6 cm). Successful repair occurred in all @entity1 . Thirty @entity1 (55%) reported persistent @entity322 and 21 (38%) altered faecal continence at follow up. In the former group, urodynamic investigations identified genuine stress @entity322 in 17 @entity1 (31%), detrusor instability in two (4%) and mixed @entity322 in 11 (20%). CONCLUSION: This study demonstrates the high rate of successful closure of the @entity292 in a specialised @entity292 unit, but highlights the problem of persistent @entity322 following closure.
