Genito-Urinary Fistula Patients at Bugando Medical Centre

  • B Gumodoka
  • E Mach
  • CR Majinge


Background: Information was collected on 1500 obstetric fistula patients attending Bugando Medical Centre (BMC) in Mwanza, Tanzania. Objectives: To identify high risk populations of fistula patients treated from 1998-2006. Design: A prospective description study of 1294 patients treated for urine and faecal incontinence at BMC. Setting: Obstetrics and Gynaecological ward at Bugando Medical Centre. Interventions: A total of 1294 patients underwent surgical treatment of incontinence. Main outcome measures: Of the 1294 surgical repairs, 84% of the patients were cured, 12% had stress incontinence and 4% failed. Conclusions: The study shows that low education and poverty were the key factors in the development of fistula. Most obstetric fistulae can be cured, particularly during the first attempt by those properly trained in the skills. Prevention of genital fistula requires raising the education and social status of women including poverty reduction strategies, improving the quality of antenatal care. Increased access to Caesarean section is also needed for prevention of genitourinary fistulas.

East African Medical Journal Vol. 87 No 7 July 2010

Author Biographies

B Gumodoka
Obstetrician and Gynaecologist, Department of Obstetrics & Gynaecology, Bugando Medical Centre, P.O. Box 1370, Mwanza, Tanzania
E Mach
Registered Nurse (RN), Master of Public Health (M.P.H.), P.O. Box 1421, Musoma, Tanzania
CR Majinge
Director General), Bugando Medical Centre, (BMC), P.O. Box 1370, Mwanza, Tanzania

Journal Identifiers

eISSN: 0012-835X