A qualitative study on the perceptions of patients with vesicovaginal fistula

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dc.contributor.authorSaraf, Sen_US
dc.contributor.authorPaul, UKen_US
dc.contributor.authorPal, DKen_US
dc.date.accessioned2020-09-24T07:56:32Z
dc.date.available2020-09-24T07:56:32Z
dc.date.issued2019-11
dc.description.abstractBackground: Vesicovaginal fistula (VVF) is a grave complication of gynecological surgeries and vaginal deliveries, leading to physical, psychological, and social implications. In India, due to the high patient turnover, it is not uncommon to find such patients in every region. While various works elaborate the surgical aspect of VVF, there is a dearth of literature on qualitative research. Objective: This study was done to better understand the impact of physical, psychological, and social factors on the lives of patient with VVF. Materials and Methods: This study was conducted in the department of urology at a tertiary care hospital. It was a descriptive qualitative study that involved audio recorded in-depth interviews of 18 such patients followed by their transcription and qualitative data analysis. Results: We identified five major categories from the transcripts, namely, understanding of the disease, initial reaction of the patient, reaction of the husband and family, personal and physical discomfort, and social implications. While majority of the perceptions were also reported in the previous studies, we found some unique perceptions in the form of false perception of urine leak from urethra in spite of vagina and blaming, the birth of female child for bad luck was found in our study. Another favorable unique response not noted in other studies was excellent family support in half of the patients. Conclusion: Our study supports the idea that VVF has far deeper implications other than physical discomfort. This study promotes wholesome management of patients, family, and society using a multidisciplinary approach.en_US
dc.identifier.affiliationsDepartment of Urology, Institute of Post-graduate Medical Education and Research and Seth Sukhlal Karnani Memorial Hospital, Kolkata, West Bengal, Indiaen_US
dc.identifier.affiliationsDepartment of Medicine, Mata Gujari Memorial Medical College, Kishanganj, Bihar, Indiaen_US
dc.identifier.citationSaraf S, Paul UK, Pal DK. A qualitative study on the perceptions of patients with vesicovaginal fistula. International Journal of Medical Science and Public Health. 2019 Nov; 8(11): 951-954en_US
dc.identifier.issn2277-338X
dc.identifier.issn2320-4664
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/205570
dc.languageenen_US
dc.publisherInternational Journal of Medical Science and Public Healthen_US
dc.relation.issuenumber11en_US
dc.relation.volume8en_US
dc.source.urihttps://dx.doi.org/10.5455/ijmsph.2019.0823930082019en_US
dc.subjectVesicovaginal Fistulaen_US
dc.subjectPsychologicalen_US
dc.subjectPerceptionsen_US
dc.subjectQualitative Studyen_US
dc.titleA qualitative study on the perceptions of patients with vesicovaginal fistulaen_US
dc.typeJournal Articleen_US
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