Publications by authors named "Jeannot Sihalikyolo Juakali"
Obstetric vesico-uterine fistula in nine reference hospitals in the Democratic Republic of the Congo: epidemiological, clinical, and therapeutic aspects.
BMC Womens Health
May 2024
Article Synopsis
- The rise in cesarean section rates has raised concerns about obstetric vesico-uterine fistula (OVUF) in the Democratic Republic of the Congo (DRC), warranting a study to analyze its epidemiology, clinical features, and treatment outcomes.
- This descriptive study, conducted from January 2017 to December 2022, included 1,267 patients with obstetric fistulas, of which 355 (28.0%) were identified as OVUF, predominantly affecting younger women from rural areas with low educational attainment.
- Key findings revealed that all OVUF cases were caused by cesarean deliveries, with a significant number of patients experiencing longer durations before repair, and most fistulas being solitary
Access to High Quality Surgical Repair Services is a Fundamental Right of Patients with Obstetric Fistulas: A Study on Quality of Life Data in the Democratic Republic of the Congo.
Int J Womens Health
April 2024
Article Synopsis
- This study evaluated the quality of life (QoL) of obstetric fistula (OF) patients before and after surgical repair using the WHOQOL-BREF questionnaire in the Democratic Republic of the Congo.
- The study involved 158 patients, revealing a significant improvement in QoL across various domains (physical, social, psychological, and environmental) after surgery, with notable changes in mean scores (e.g., physical QoL improved from 28.37 to 66.32, p<0.001).
- The findings indicate that successful surgical repair of OF not only alleviates the physical and psychological effects of the condition but also enhances overall patient wellbeing, underscoring the need for accessible, quality surgical services
Determinants and predictive model of failure of surgical repair of obstetric vesico-vaginal fistula in the Democratic Republic of the Congo.
Reprod Health
April 2024
Introduction: Surgical repair of obstetric fistula aims to restore the anatomical and functional integrity of the urinary tract, enabling affected women to regain their dignity and quality of life. However, such repairs can end in a failure. The aim of this study is to develop a predictive score to identify factors influencing failure of surgical repair of obstetric vesico-vaginal fistula (FSROVVF) in the Democratic Republic of the Congo.
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- The study focuses on obstetric fistula repair surgery, aiming to restore the urinary tract and improve the quality of life for affected women, but acknowledges that about 25% of surgeries fail.
- Researchers analyzed data from 358 patients in the Democratic Republic of the Congo and identified six key predictive factors for surgical failure, including the use of certain vaginal products and the size of the fistula.
- A scoring system was developed to assess the risk of failure, with lower scores indicating low risk and higher scores indicating high risk, achieving high accuracy in predicting outcomes based on various clinical factors.
Epidemiological, anatomoclinical, and therapeutic profile of obstetric fistula in the Democratic Republic of the Congo: About 1267 patients.
Trop Med Int Health
April 2024
Objective: Our aim is to describe the epidemiological, anatomoclinical and therapeutic profile of obstetric fistula (OF) in the Democratic Republic of the Congo (DRC).
Methodology: This was a descriptive retrospective study that collected 1416 obstetric fistulas in 1267 patients in seven provinces of the DRC, treated between January 2017 and December 2022. The variables studied were epidemiological, anatomoclinical and therapeutic.