<![CDATA[Objective: To know the characteristics of patients with obstetrics
and gynecologic fistula in Dr. Cipto Mangunkusumo Hospital,
Jakarta.
Method: This study was a descriptive design using secondary data
from medical records and patient database during 2011-2016.
Result: There were 68 subjects with fistula. From 2011-2016, there
were 5 cases (7.4%), 19 cases (27.9%), 16 cases (23.5%), 11 cases
(16.2%), 8 cases (11.8%), and 9 cases (13.2%) of fistula; respectively.
The average age of subjects was 38 years old and only 34
subjects have complete data. Gynecologic and obstetric fistula were
17 cases each. As total 28% of fistula cases were vesicovagina fistula,
12% were rectovaginal fistula, 9% were anovagina fistula, and the
other types of fistula were 2%. Among 34 subjects, there were 21%
of vesicovagina fistula and 3% of rectovagina fistula, which were
caused by iatrogenic. There were 7% of vesicovagina and rectovagina
fistula each and 9% of anovagina fistula were caused by
obstetric problems. The iatrogenic procedures found from this study
were total abdominal hysterectomy (16%), vaginal hysterectomy
(3%), and neovagina (3%).
Conclusion: The trend of cases is decreasing during the present
years (2011-2016). Gynecologic fistula cases caused by iatrogenic
are the major problems, but the obstetrics fistula cases decreasing
following the labor monitoring is much better nowadays.
[Indones J Obstet Gynecol 2016; 4-4: 212-217]
Keywords: gynecologic fistula, iatrogenic, obstetric fistula]]>
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