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dc.contributor.authorBørseth, Katrine Trovik Flaatten
dc.contributor.authorAcharya, Ganesh
dc.contributor.authorKiserud, Torvid
dc.contributor.authorTrovik, Jone
dc.date.accessioned2020-04-02T07:33:49Z
dc.date.available2020-04-02T07:33:49Z
dc.date.issued2019-03-19
dc.description.abstract<i>Introduction</i> - Gynecological fistula (affecting female genital organs) leads to involuntary loss of urine or feces. In industrialized societies, fistulas occur mostly as complications of surgery, radiation therapy or inflammatory bowel disease. We sought to determine the incidence of gynecological fistula and type of surgical treatment provided in Norway.<p><p> <i>Material and methods</i> - This was a retrospective national cohort study of women treated for gynecological fistula (International Classification of Disease‐10 code N82) during 2008‐2014, identified from the mandatory Norwegian Patient Registry. To compare groups, we utilized Chi‐square or non‐parametric tests.<p><p> <i>Results</i> - In all, 1627 women (.06% of the female Norwegian population) had 4475 hospital admissions with a diagnosis of gynecological fistula. In total, 1214/1627 (75%) had fistula as the main diagnosis: 346 (29%) a urogenital fistula, 672 (55%) an enterogenital, 38 (3%) a genitocutaneous and 22 (2%) both urinary and enteral fistula. Surgery for gynecological fistula was performed in 723 women, an incidence rate of 4.2 per 100 000 person‐years (95% confidence interval [CI] 4.2‐4.3); gynecological procedures (mostly vaginal/perineal) were performed in 163 women (23%), urological in 43 (6%), enteral in 267 (37%) and surgery involving multiple pelvic compartments in 250 (35%). Women undergoing fistula surgery had a median of three hospital contacts (95% CI 3‐3), for 370 women (52%), the procedure was performed by a gynecologist, and 212 of these (29%) were also operated by urologists or gastroenterologists.<p><p> <i>Conclusions</i> - Gynecological fistula is rare in Norway, with an overall incidence of 6/10 000 in the female population, whereas the incidence of surgically treated fistula is 4.2/100 000. However, the condition represents considerable morbidity for the individual patient.en_US
dc.descriptionThis is the peer reviewed version of the following article: Børseth, K. F., Acharya, G., Kiserud, T. & Trovik, J. (2019). Incidence of gynecological fistula and its surgical treatment: A national registry‐based study. <i>Acta Obstetricia et Gynecologica Scandinavica, 98</i>(9), 1120-1126., which has been published in final form at <a href=https://doi.org/10.1111/aogs.13611> https://doi.org/10.1111/aogs.13611</a>. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.en_US
dc.identifier.citationBørseth KT, Acharya G, Kiserud T, Trovik J. Incidence of gynecological fistula and its surgical treatment: A national registry-based study. Acta Obstetricia et Gynecologica Scandinavica. 2019:1-7en_US
dc.identifier.cristinIDFRIDAID 1722011
dc.identifier.doi10.1111/aogs.13611
dc.identifier.issn0001-6349
dc.identifier.issn1600-0412
dc.identifier.urihttps://hdl.handle.net/10037/17974
dc.language.isoengen_US
dc.publisherWileyen_US
dc.relation.journalActa Obstetricia et Gynecologica Scandinavica
dc.rights.accessRightsopenAccessen_US
dc.rights.holder© 2019 Nordic Federation of Societies of Obstetrics and Gynecologyen_US
dc.subjectVDP::Medisinske Fag: 700en_US
dc.titleIncidence of gynecological fistula and its surgical treatment: A national registry-based studyen_US
dc.type.versionacceptedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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