Publications by authors named "Stanis Okitotsho Wembonyama"
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.
View Article and Find Full Text PDFHEAL Africa score to predict failure of surgical repair of obstetric urethro-vaginal fistula in the Democratic Republic of the Congo.
BMC Womens Health
February 2024
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.
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.
Introduction: Acute kidney injury (AKI) requiring renal replacement therapy is accompanied by considerable mortality. This present study evaluated predictors of mortality at initiation of hemodialysis (HD) in AKI patients in Goma (in the Democratic Republic of the Congo (DRC)).
Methods: A single-centre cohort survey evaluated the clinical profile and survival rates of AKI patients admitted to HD in the only HD centre in Goma, North Kivu province (DRC).
Acute kidney injury (AKI) is a complex condition that can occur in both community and hospital settings and has many aetiologies. These aetiologies may be infectious, toxic, surgical, or related to the different management methods. Although it is a major public health problem worldwide, it must be emphasised that both its incidence and mortality rate appear to be very high in sub-Saharan African (SSA) countries compared to developed countries.
View Article and Find Full Text PDF[Seroprevalence and factors associated with Voluntary Counselling and Testing (VCT) for HIV among children in Lubumbashi, Democratic Republic of the Congo].
Pan Afr Med J
December 2017
Introduction: Despite proposals for screening infants or preschool children for HIV infection, the proportion of children who grow or die with unknown HIV status is high in the Democratic Republic of the Congo (DRC). This study aimed to determine the seroprevalence during a voluntary screening and to identify factors associated with Voluntary Counselling and Testing (VCT) for HIV in the paediatric population of non-HIV infected or non-HIV exposed infants and children in Lubumbashi, DRC.
Methods: We conducted a cross-sectional prospective analytical study in 4 community VCT centers divided into 4 health zones in the city of Lubumbashi, DRC (Lubumbashi, Ruashi, Kampemba and Kenya) over the period 1 August 2006 - 31 September 2007.