Table 1 Summary of urethrocutaneous fistulae cases reported by ZAZIC
Case | 1 | 2 | 3 | 4 | 5 | 6 | 7 |
|---|---|---|---|---|---|---|---|
Year of VMMC | 2013 | 2014 | 2015 | 2016 | 2017 | 2019 | 2019 |
Age (years) | 22 | 14 | 10 | 11 | 12 | 12 | 13 |
Circumcision method | Forceps guided | Forceps guided | Forceps guided | Dorsal slit | Dorsal slit | Dorsal slit | Dorsal slit |
Site | Outreach | ||||||
Circumcising cadre | Doctor | Doctor | Doctor | Nurse | Nurse | Nurse | Nurse |
Surgeon experience in VMMC | 1 year | 2 years | 2 years | 4 years | 4 months | 6 years | 5 years |
Suture material/needle size | 3/0 vicryl, 26 mm, 3/8 circular reverse cutting needle | ||||||
Diathermy used | No | ||||||
Days to fistula diagnosis after VMMC | 2 | 7 | 15 | 42 | 18 | 17 | 14 |
Number of repair attempts | 10 | 3 | None | 3 | 3 | 2 | 1 |
Surgeon expertise and repair dates (month/year) | *GP #1-Aug 2013 GP #1-Aug 2013 GP #1-Aug 2013 GP #1-Sept 2013 Urologist #1-May 2014 Urologist #1-Nov 2014 Urologist #1-May 2015 Urologist #2-November 2015 Urologist #1 and #2-Mar 2017 WHO Urologists-Oct 2019 | General Surgeon #1-May 2015 Urologist #2-Oct 2016 Urologist #2-Jan 2018 | Conservative management by GPs #2 and #3- March 2015 | General Surgeon #1-Jan 2017 Urologist #2-Jan 2018 Urologist #1-Sept 2020 | Urologist #2-Jun 2017 Urologist #2-Nov 2017 W.H.O Urologists- Oct 2019 | Urologist #1-May 2019 Urologist #1-Sept 2020 | Urologist #1-Mar 2020 |
Days to healing | 2241 | 1830 | 21 | 1413 | 940 | 244 | 196 |
Secondary diagnosis | Infection | Infection | Infection | None | Infection | Infection | Infection |
Outcome | Healed | Healed | Healed | Healed | Healed | Unhealed | Healed |