E-ISSN 2277-338X | ISSN 2320-4664
 

Original Research 


A qualitative study on the perceptions of patients with vesicovaginal fistula

Siddharth Saraf, Uttam Kumar Paul, Dilip Kumar Pal.

Abstract
Background: 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.

Key words: Vesicovaginal Fistula; Psychological; Perceptions; Qualitative Study


 
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Pubmed Style

Saraf S, Paul UK, Pal DK. A qualitative study on the perceptions of patients with vesicovaginal fistula. Int J Med Sci Public Health. 2019; 8(11): 951-954. doi:10.5455/ijmsph.2019.0823930082019


Web Style

Saraf S, Paul UK, Pal DK. A qualitative study on the perceptions of patients with vesicovaginal fistula. http://www.ijmsph.com/?mno=62654 [Access: November 12, 2019]. doi:10.5455/ijmsph.2019.0823930082019


AMA (American Medical Association) Style

Saraf S, Paul UK, Pal DK. A qualitative study on the perceptions of patients with vesicovaginal fistula. Int J Med Sci Public Health. 2019; 8(11): 951-954. doi:10.5455/ijmsph.2019.0823930082019



Vancouver/ICMJE Style

Saraf S, Paul UK, Pal DK. A qualitative study on the perceptions of patients with vesicovaginal fistula. Int J Med Sci Public Health. (2019), [cited November 12, 2019]; 8(11): 951-954. doi:10.5455/ijmsph.2019.0823930082019



Harvard Style

Saraf, S., Paul, . U. K. & Pal, . D. K. (2019) A qualitative study on the perceptions of patients with vesicovaginal fistula. Int J Med Sci Public Health, 8 (11), 951-954. doi:10.5455/ijmsph.2019.0823930082019



Turabian Style

Saraf, Siddharth, Uttam Kumar Paul, and Dilip Kumar Pal. 2019. A qualitative study on the perceptions of patients with vesicovaginal fistula. International Journal of Medical Science and Public Health, 8 (11), 951-954. doi:10.5455/ijmsph.2019.0823930082019



Chicago Style

Saraf, Siddharth, Uttam Kumar Paul, and Dilip Kumar Pal. "A qualitative study on the perceptions of patients with vesicovaginal fistula." International Journal of Medical Science and Public Health 8 (2019), 951-954. doi:10.5455/ijmsph.2019.0823930082019



MLA (The Modern Language Association) Style

Saraf, Siddharth, Uttam Kumar Paul, and Dilip Kumar Pal. "A qualitative study on the perceptions of patients with vesicovaginal fistula." International Journal of Medical Science and Public Health 8.11 (2019), 951-954. Print. doi:10.5455/ijmsph.2019.0823930082019



APA (American Psychological Association) Style

Saraf, S., Paul, . U. K. & Pal, . D. K. (2019) A qualitative study on the perceptions of patients with vesicovaginal fistula. International Journal of Medical Science and Public Health, 8 (11), 951-954. doi:10.5455/ijmsph.2019.0823930082019





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