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had no patients with complex UGFs as seen in our study.
Besides the management of urogenital fistula (UGF), other subtypes of UI have received very little medical attention in sub-Saharan Africa.
Patients with signs and symptoms of a UGF were admitted for investigations and assessment of location, size and number of fistulas for adequate planning of surgical treatment.
The incidence of SUI increased with parity, while UGF was found to be highest among para 1s.
UGF and UUI did not show any significant association with a particular BMI category.
UGF occurred predominantly among black African women (85.8%).
Table 6 shows that UDS were done in half of the patients with intermittent UI, VCUs were done in 95.8% and CT-IVP was done in addition to VCU in 75% of women with UGF.
The success rate for UGF repair was 94.9%; both abdominal and vaginal approaches of repair were successful (95.2% v.
Scores on the disease-specific Chronic Venous Insufficiency quality of life Questionnaire (CIVIQ) deteriorated over time in the UGFS group, improved in the EVLA-treated patients, and remained stable in the conventional surgery group.
For UGFS, operators utilized a foam comprising 1 mL of sodium tetradecyl sulfate per 3 mL of air.
Of note, patients in the minimally invasive UGFS group required re-treatment three times more often than did those in the other two study arms.
van der Velden said she has heard from some UGFS partisans that she and her coinvestigators may have undertreated patients in that study arm because they didn't routinely perform phlebectomies of the tributaries, and the average amount of foam they injected, about 4.5 mL, was on the low side.
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- UGH syndrome