Building a country-wide Fistula Treatment Network in Kenya: results from the first six years (2014-2020)

Table 2 Characteristics of Fistula Treatment Network supported fistula-related surgeries, Kenya, May 2014-April 2020

	Surgeries		Women
	n=6,223		n=5,720
	n	%	n	%
Number of surgeries recorded
1			5,327	93.1
2			319	5.6
3 or more^a			74	1.7
Procedure type
VVF Repair	2,469	39.7	2,251	39.4
3rd/4th Degree Perineal Repair	1,792	28.8	1,718	30.0
RVF Repair	1,350	21.7	1,233	21.6
Urethral Fistula Repair	217	3.5	194	3.4
VVF/RVF Repair	131	2.1	123	2.2
Other^b	264	4.2	201	3.5
Age, median (IQR)	34 (25-54)		34 (26-45)
County	(n=6,223)		(n=5,720)
Bungoma	799	12.8	755	13.2
West Pokot	716	11.5	667	11.7
Kisii	596	9.6	541	9.5
Homa Bay	464	7.5	420	7.3
Uasin Gishu	391	6.3	354	6.2
Narok	353	5.7	328	5.7
Others^c	2904	46.7	2655	46.4
Incontinence type	(n=6220)		(n=5,717)
Urinary only	3,045	49.0	2,750	48.1
Fecal only	2,947	47.4	2,756	48.2
Both urinary and fecal	228	3.7	211	3.7
Incontinence duration, in years	(n=6,157)		(n=5,648)
1 year or less	1,708	27.7	1,556	27.5
1-3 years	974	15.8	889	15.7
3-5 years	661	10.7	605	10.7
5-10 years	995	16.2	921	16.3
10 years or more	1,819	29.5	1,683	29.8
Presumed cause of fistula	(n=6,150)		(n=5,648)
Obstetric	5,853	95.2	5,400	95.6
Iatrogenic	153	2.5	134	2.4
Traumatic	144	2.3	114	2.0

Notes: ^aNumber of surgeries: 3 (n=51), 4 (n=14), 5 (n=6), 6 (n=2), and 7 (n=1). ^bSurgery type: ureteric fistula repair (78 surgeries, 70 women), sling or urethroplasty (51 surgeries, 39 women), urinary diversion (51 surgeries, 42 women), vaginoplasty (38 surgeries, 24 women), other (51 surgeries, 40 women). ^cOther counties (Fig. 3; full specification of counties in Table S1)

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