Psychosocial conditions in patients with vesicovaginal fistula at a referral hospital in Surabaya, Indonesia
Abstract
Background: Vesicovaginal fistula (VVF) is an abnormal opening between the bladder and vagina that causes persistent urinary incontinence. Management in this case tends to be difficult and has the potential to experience recurrence.
Aim: This study aims to describe the psychosocial condition of vesicovaginal fistula patients at Dr. Soetomo Hospital Surabaya Indonesia.
Method: This research is a cross sectional study with descriptive analysis. The data used is the medical record data Dr. Soetomo in 2017. The Psychosocial Condition is Measured by Measuring Depression Using the Beck Depression Index (BDI). Patients interview by telephone. The Data Obtained were analysed descriptively.
Results: 14 Patients out of 20 people were successfully interviewed. More than half of the respondents were aged 46-55 years. Most respondent had finished senior high school education. Most respondent were ethnic Javanese and did not work. Nearly half of the respondents experienced depression. Only 2 patients did not undergo surgery. Nearly half of the respondents were referral patients. There were 2 patients who had moderate depression. Most of the causes of fistulas experienced were gynaecological operations. Based on the results of the interviews, it was found that the most common complaints were sleep disturbances, weight loss, decreased appetite, and interest in sexual function.
Conclusion: Doctors and health workers need to carry out management and prevention of depression in patients with vesicovaginal fistula in the hospital
References
Adler, A.J., Ronsmans, C., Calvert, C. & Filippi, V. (2013) ‘Estimating the prevalence of obstetric fistula: a systematic review and meta-analysis.’, BMC Pregnancy and Childbirth, 13(246).
AK, C. et al. (2020) ‘Association of Adult Depression With Educational Attainment, Aspirations, and Expectations.’, Prev Chronic Dis, 17, p. E94.
Bengtson, A. M. et al. (2016) ‘Identifying Patients With Vesicovaginal Fistula at High Risk of Urinary Incontinence After Surgery.’, Obstetrics and gynecology, 128(5), pp. 945–953.
Chiu, M. et al. (2018) ‘Ethnic Differences in Mental Health Status and Service Utilization: A Population-Based Study in Ontario, Canada’, The Canadian Journal of Psychiatry, 63(7), pp. 481–491. doi: 10.1177/0706743717741061.
Edwards, G. et al. (2019) ‘Improving Depression Management in Patients with Medical Illness Using Collaborative Care: Linking Treatment from the Inpatient to the Outpatient Setting.’, Innovations in clinical neuroscience, 16(11–12), pp. 19–24.
Fujisaki, A. et al. (2020) ‘An evaluation of the impact of post-hysterectomy vesicovaginal fistula repair on the mental health of patients in a developed country’, International Urogynecology Journal, 31(7), pp. 1371–1375. doi: 10.1007/s00192-019-04131-4.
Hilton, P. (2003) ‘Vesico-vaginal fistulas in developing countries’, Int J Gynaecol Obstet, 82, pp. 285–95.
Katon W. J. (2011) ‘Epidemiology and treatment of depression in patients with chronic medical illness’, Dialogues in clinical neuroscience, 13(1), pp. 7–23.
Magaard, J. L. et al. (2017) ‘Factors associated with help-seeking behaviour among individuals with major depression: A systematic review’, PLOS ONE, 12(5), p. e0176730. Available at: https://doi.org/10.1371/journal.pone.0176730.
Maleki, F. M. et al. (2020) ‘Community-Based Preventive Interventions for Depression and Anxiety in Women.’, Arch Iran Med, 23(3), pp. 197–206.
Malik, M. A. et al. (2018) ‘Changing trends in the etiology and management of vesicovaginal fistula’, International Journal of Urology, 25(1), pp. 25–29. doi: 10.1111/iju.13419.
Mikah, S. et al. (2011) ‘The burden of vesico-vaginal fistula in north central Nigeria.’, Journal of the West African College of Surgeons, 1(2), pp. 50–62.
Patria, B. (2022) ‘The longitudinal effects of education on depression: Finding from the Indonesian national survey ’, Frontiers in Public Health . Available at: https://www.frontiersin.org/articles/10.3389/fpubh.2022.1017995.
Pizzol, D. et al. (2021) ‘Urinary incontinence and quality of life: a systematic review and meta-analysis’, Aging Clinical and Experimental Research, 33(1), pp. 25–35. doi: 10.1007/s40520-020-01712-y.
Prina, A. M. et al. (2015) ‘The association between depressive symptoms in the community, non-psychiatric hospital admission and hospital outcomes: a systematic review.’, Journal of psychosomatic research, 78(1), 25–33, 78(1), pp. 25–33.
Rajaian, S., Pragatheeswarane, M. and Panda, A. (2019) ‘Vesicovaginal fistula: Review and recent trends’, Indian journal of urology : IJU : journal of the Urological Society of India, 35(4), pp. 250–258. doi: 10.4103/iju.IJU_147_19.
Stamatakos, M. et al. (2014) ‘Vesicovaginal fistula: Diagnosis and management’, Indian J Surg, 76(2), pp. 131–136.
Yuh, L. . & R. J. G. (2016) ‘Complication and long term sequelae of bladder fistula repair.’, Curr Bladder Dysfunct Rep, 11(4), pp. 317–24.
