Publications by authors named "Jonathan Ml Kasereka"
Obstetric vesico-uterine fistula in nine reference hospitals in the Democratic Republic of the Congo: epidemiological, clinical, and therapeutic aspects.
Justin Lussy Paluku Cathy Mufungizi Furaha Susan A Bartels Barthelemy Kasi Aksanti Benjamin Kasereka Kataliko Jonathan Ml Kasereka John Kasereka Muteke
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
Article Synopsis
- 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.