Publications by authors named "Jonathan Kasereka"
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
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.
Purpose: To describe the demographics and evaluate the repair of childbirth-associated injuries leading to incontinence in patients in remote Democratic Republic of Congo (DRC).
Patients And Methods: Four surgical outreach campaigns were organised between March 2018 and October 2019. These campaigns specifically targeted women with incontinence secondary to childbirth-associated injuries.
Background: The epidemic of gender-based violence in the Democratic Republic of the Congo (DRC) has garnered popular media attention, but is incompletely described in the medical literature to date. In particular, the relative importance of militarized compared to civilian rape and the impact on vulnerable populations merits further study. We describe a retrospective case series of sexual abuse among children and youth in eastern DRC.
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