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

Table 3 Fistula Treatment Network supported fistula-related surgeries by outcome, Kenya, May 2014-April 2020

Surgical Characteristics	N	Surgical Outcome
		Fistula not closed		Fistula closed, incontinent		Fistula closed and continent
		n	%	n	%	n	%
All procedures^a	6198	388	6.3	203	3.2	5607	90.5
Procedure type
VVF repair	2459	233	9.5	129	5.3	2097	85.3
RVF repair	1341	46	3.4	37	2.8	1258	93.8
VVF/RVF repair	130	11	8.5	7	5.4	112	86.2
3rd/4th degree perineal tear repair	1790	45	2.5	15	0.8	1730	96.7
Urinary diversion	46	4	8.7	1	2.2	41	89.1
Vaginoplasty	38	6	15.8	0	0.0	32	84.2
Urethral fistula repair	217	21	9.7	7	3.2	189	87.1
Ureteric fistula repair	78	11	14.1	1	1.3	66	84.6
Sling or urethroplasty	51	5	9.8	5	9.8	41	80.4
Other	48	6	12.5	1	2.1	41	85.4
Procedure difficulty
Simple	2594	45	1.7	32	1.2	2517	97.0
Intermediate	2338	115	4.9	69	3.0	2154	92.1
Difficult	1257	227	18.1	102	8.1	928	73.8
Incontinence duration, in years
1 year or less	1701	111	6.5	57	3.4	1533	90.1
1-3 years	971	70	7.2	29	3.0	872	89.8
3-5 years	660	35	5.3	17	2.6	608	92.1
5-10 years	991	54	5.5	31	3.1	906	91.4
10 years or more	1810	115	6.4	65	3.6	1630	90.1
Procedure number
1	5700	313	5.5	176	3.1	5211	91.4
2	389	49	12.6	21	5.4	319	82.0
3 or more^b	73	16	21.9	4	5.5	53	72.6

Notes: ^a Outcome data were missing for 25 surgeries ^b Surgical outcome of fistula closed and continent was achieved by 72.3% of 3rd procedures, 78.3% of 4th procedures, and 46.2% of 5th or higher procedures

ISSN: 1472-6963