Female Urogenital Fistula Profile at RSUD Prof. Dr. Margono Soekarjo in 2020 – 2024

Abstract

Urogenital fistula is an abnormal communication between the urinary tract and the genital tract that can result in continuous urinary leakage and adversely affect quality of life. This study aimed to describe the profile of female urogenital fistula cases at Prof. Dr. Margono Soekarjo Regional General Hospital from 2020 to 2024 based on age, anatomical location, etiology, and management. A retrospective descriptive study was conducted using total sampling of medical records of female patients with urogenital fistula who met the study criteria. A total of 43 patients were included in the study. The predominant age group was 41–50 years (51,16%). The most frequent anatomical location was vesicovaginal fistula (88,37%), followed by ureterovaginal fistula (9,30%) and urethrovaginal fistula (2,33%). In terms of etiology, the cases were most commonly attributed to iatrogenic or surgical causes (51,16%), followed by malignancy (46.51%) and trauma (2,33%), no obstetric etiology was identified. Based on the management, the majority of urogenital fistula cases were treated with definitive surgical intervention (53.49%), and all vesicovaginal fistula repairs were performed using a transvaginal approach. This study demonstrates that vesicovaginal fistula was the predominant anatomical type, while iatrogenic causes were the most common etiology in the study population. These findings may serve as a basis for evaluating case patterns, management strategies, and the urogenital fistula referral system at the hospital.