Psychosocial Morbidity of Patients Before and After Surgical Correction of Vesicovaginal Fistula

Baby Sumaira Parveen; Gulfareen Haider; Anila Mahmood; Shehla Channa; Nazia Memon; Aqeela Memon

doi:10.71104/jsogp.v15i4.969

Baby Sumaira Parveen FCPS, Obs & Gynae, Isra University Hospital, Hyderabad
Gulfareen Haider Professor of gynae and OBS Isra University Hospital Hyderabad
Anila Mahmood Associate Professor department of Gynecology LUMHS Jamshoro/ Hyderabad
Shehla Channa Professor of Obs & Gynae LUMHS, Jamshoro
Nazia Memon Assistant Professor of Community Medicine SRMC Tando Adam
Aqeela Memon M. Phil Community Medicine LUMHS/ Jamshoro

DOI: https://doi.org/10.71104/jsogp.v15i4.969

Keywords: Vesicovaginal fistula, WHOQOL-BREF, surgical repair, Psychological Assessment

Abstract

Objective: To compare the mean preoperative and post-operative quality of life scores using world Health Organization quality of life- biomedical research and education foundation (WHOQOL-BREF) following the surgically repair of vesicovaginal fistula (VVF).

Methodology: A comparative cross-sectional study was done at department of Gynae and Obstetrics at Isra University Hospital Hyderabad from Dec-2020 to June 2021. Women aged 20 to 60 year, presented with complaints of continuous leakage of urine per vagina following obstetric or gynecological procedures who were operated were included. The WHO QoL-BREF questionnaire was used as a tool to evaluate the quality of life before surgery. Surgical repair was performed in all females and quality of life was re-assessed after 6 weeks. The data was entered and analyzed using SPSS 22.

Results: The mean age of the patients was 37.70+10.96 years. Majority of the women 55.4% had poor pre-operative physical domain according WHO quality of life score. Vesicovaginal fistula was successfully repaired among 98.0% of the cases. Before surgery, 30.7% of women had poor QOL (score ≤40), 67.3% had moderate QOL (score 41 to 60), and only two women had good QOL (score >60). Psychosocial and overall quality of life scores significantly improved after treatment across all domains, including physical, psychological, environmental, and social domains, p-0.001. Overall mean pre-operative QOL score was 33.56+9.33 and after treatment significantly improved as 80.07+9.55 (P-0.001).

Conclusion: Pre-operative quality of life was observed to be very poor, which was significantly improved as good quality of life after treatment of vesicovaginal fistula by using the world health organization quality of life scoring system.