Risk factors for and delayed recognition of genitourinary fistula following radical hysterectomy for cervical cancer: a population-based analysis

This study aimed to identify the risk factors for genitourinary fistulas and delayed fistula recognition after radical hysterectomy for cervical cancer. This study was a retrospective analysis of data collected in the Major Surgical complications of Cervical Cancer in China (MSCCCC) database from 20...

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Bibliographic Details
Published in:Journal of gynecologic oncology 2023, 34(2), , pp.1-18
Main Authors: Liang, Cong, Liu, Ping, Kang, Shan, Li, Weili, Chen, Biliang, Ji, Mei, Chen, Chunlin
Format: Article
Language:English
Subjects:
Child
Female
Humans
Hysterectomy - adverse effects
Laparoscopy - adverse effects
Original
Retrospective Studies
Risk Factors
Urinary Fistula - epidemiology
Urinary Fistula - etiology
Urinary Fistula - surgery
Uterine Cervical Neoplasms - complications
Uterine Cervical Neoplasms - surgery
산부인과학
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Summary:This study aimed to identify the risk factors for genitourinary fistulas and delayed fistula recognition after radical hysterectomy for cervical cancer. This study was a retrospective analysis of data collected in the Major Surgical complications of Cervical Cancer in China (MSCCCC) database from 2004-2016. Data on sociodemographic characteristics, clinical characteristics, and hospital characteristics were extracted. Differences in the odds of genitourinary fistula development were investigated with multivariate logistic regression analyses, and differences in the time to recognition of genitourinary fistula were assessed by Kruskal-Wallis test. In this study, 23,404 patients met the inclusion criteria. Surgery in a cancer center, a women's and children's hospital, a facility in a first-tier city, or southwest region, stage IIA, type C1 hysterectomy, laparoscopic surgery and ureteral injury were associated with a higher risk of ureterovaginal fistula (UVF) (p
ISSN:2005-0380
2005-0399
DOI:10.3802/jgo.2023.34.e20