Abstract
Peroneal nerve injury, resulting in leg weakness and foot drop, is seen frequently after long, obstructed labor that has caused an obstetric vesicovaginal fistula. Nine hundred and forty-seven consecutive patients treated in northern Nigeria for obstetric fistulas were reviewed for the presence of peroneal nerve trauma. The first 470 patients were reviewed retrospectively, and 25 (5.3%) were noted to have presented with significant motor weakness. The next 470 patients were prospectively evaluated by both history and physical examination. In this group, 311 (64.9%) women had either a history or current signs of peroneal nerve injury at the time of admission for fistula repair. Injuries were more common on the right side and were more commonly apparent in the first 2 years after the obstetric trauma causing the fistula.
Similar content being viewed by others
References
Waaldijk K, Armiyau YD. The obstetric fistula: a major health problem still unsolved. Int Urogynecol J 1993;4:126–128
Aziz, FA. Urinary fistulae from obstetric trauma. J Obstet Gynaecol Br Cwlth 1965;72:765–768
Sinclair R. Maternal obstetric palsy. S African Med J 1952;26:708–714
Naidu PM. Vesico-vaginal fistulae: an experience with 208 cases. J Obstet Gynaecol Br Cwlth 1962;69:311–316
Bird GC. Obstetric vesico-vaginal and allied fistulae: a report on 70 cases. J Obstet Gynaecol Br Cwlth 1967;74:749–752
Zacharin RF. Obstetric fistulae. New York: Springer-Verlag, 1988;143–144
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Waaldijk, K., Elkins, T.E. The obstetric fistula and peroneal nerve injury: An analysis of 947 consecutive patients. Int Urogynecol J 5, 12–14 (1994). https://doi.org/10.1007/BF00451704
Issue Date:
DOI: https://doi.org/10.1007/BF00451704