Table 6 Bivariate and multivariate binary logistic regression analyses of factors associated with urinary incontinence among patients following successful closure of obstetric vesicovaginal fistula repair at the Yirgalem Hamlin Fistula Center in 2021 (n = 499)
Variables | Urine incontinence | COR (95% CI) | P value | AOR (95% CI) | P value | |
|---|---|---|---|---|---|---|
No, n (%) | Yes, n (%) | |||||
Age at repair in years | ||||||
Weight | ||||||
≥ 50 kg | 112(81.2) | 26(18.8) | 1 | 1 | ||
< 50 kg | 271(75.1) | 90(24.9) | 0.699(0.429, 1.140) | 0.151 | 1.661(0.899, 3.068) | 0.105 |
Number of parties (deliveries) | ||||||
Para 1 | 122(70.1) | 52(29.9) | 1 | 1 | ||
Para 2–4 | 151(77.8) | 43(22.2) | 1.497(0.936,2.393) | 0.092 | 0.781(0.425,1.438) | 0.428 |
Para > 5 | 110(84.0) | 21(16.0) | 2.233(1.264,3.942) | 0.06 | 0.622(0.308,1.257) | 0.186 |
Labor duration | ||||||
< 24 | 74(81.3) | 17(18.7) | 1 | |||
24–48 | 199(84.7) | 36(15.3) | 0.788(0.417, 1.487) | 0.461 | 0.728(0.334,1.587) | 0.424 |
≥ 48 | 110(63.6) | 63(36.4) | 2.493(1.353, 4.595) | 0.003 | 1.943(0.896,4.215) | 0.093 |
Feta outcome | ||||||
Live birth | 88(75.1) | 18(24.9) | 1 | 1 | ||
Stillbirth | 295(83) | 98(17.0) | 1.624(0.931,2.832) | 0.087 | 0.965(0.477,1.953) | 0.921 |
Goh fistula type | ||||||
Type 1 | 132(81.0) | 31(19.0) | 1 | 1 | ||
Type 2 | 185(84.1) | 35(15.9) | 0.806(0.473,1.372) | 0.426 | 0.773(0.391,1.526) | 0.458 |
Type 3 | 50(58.1) | 36(41.9) | 3.066(1.716,5.476) | 0.000 | 2.333(1.066,5.109) | 0.045 |
Type 4 | 16(53.3) | 14(46.7) | 3.726(1.646,8.434) | 0.002 | 4.289(1.431,12.852) | 0.009* |
Fistula size | ||||||
≤ 3 cm | 351(85.6) | 59(14.4) | 1 | 1 | ||
> 3 cm | 32(36.0) | 57(64.0) | 10.597(6.342,17.706) | 0.000 | 8.855(4.786,16.382) | 0.000*** |
Urethra status | ||||||
Intact | 247(85.2) | 43(14.8) | 1 | 1 | ||
Partially damaged | 123(68.7) | 56(31.3) | 2.615(1.663,4.112) | 0.000 | 2.810(1.441,5.479) | 0.002** |
Completely destructed | 13(43.3) | 17(56.7) | 7.512(3.404,6.318) | 0.000 | 5.829(2.094,16.228) | 0.001** |
Bladder neck status | ||||||
Intact | 322(80.6) | 80(19.4) | 1 | 1 | ||
Partially or totally damaged | 51(58.6) | 36(41.4) | 2.929 (1.792, 4.789) | 0.000 | 1.579(0.780,3.198) | 0.205 |
Vaginal scarring | ||||||
None | 30(88.2) | 4(11.8) | 1 | 1 | ||
Mild | 287(79.5) | 74(20.5) | 0.2312(0.076, 0.708) | 0.010 | 1.887(0.518,6.878) | 0.336 |
Moderate to severe | 66(63.5) | 38(35.5) | 0.448(0.279,0.719) | 0.001 | 2.166(0.549,8.549) | 0.270 |
Layers of closure | ||||||
Two | 174(82.5) | 37(17.5) | 1 | 1 | ||
One | 209(72.6) | 79(27.4) | 1.778(1.146,2.758) | 0.010 | 0.288(0.154,0.533) | 0.047 |