Survey on Prevalence and Management of Fistula at Dhaka Medical College and Hospital

Abstract

Fistula remains a significant public health issue, particularly in developing countries, where inadequate medical infrastructure and social stigma contribute to its prevalence. This study aims to assess the prevalence and management strategies of fistula cases at Dhaka Medical College and Hospital (DMCH), a leading healthcare facility in Bangladesh. We conducted a cross-sectional survey involving 150 patients diagnosed with fistula between May and June 2024. As per this pie chart, 42% responders replied that they have been known about fistula. In this investigation, 35% participants replied that they have been affected by fistula. Additionally, 65% responders retorted that they haven’t affected by fistula. As per this chart, 40% participants replied that they have been affected by obstetric fistula. In this chart, 33% responders replied that they have been felt pus drainage near the anal opening. As per this investigation, 30% responders replied that they have been taken laxatives for relieving fistula. Additionally, 18% responders replied that they have been taken anxiolytics, 15% responders replied that they have been taken antibiotics & 14% responders replied that they have been taken vasodilators for relieving fistula. According to this survey, 25% responders replied that they have been observed sepsis and systemic infection due to untreated fistula. As per this chart, most of the responders 70% replied that they have been very satisfied with the quality of care received for fistula at Dhaka Medical College and Hospital. In this survey, 20% responders replied that doctor has been recommended CT scan for diagnosis fistula. This survey underscores the need for enhanced public health initiatives, including community education, early detection programs, and improved healthcare infrastructure, to address the burden of fistula in Bangladesh. Strengthening these areas will not only reduce the prevalence of fistula but also improve the quality of life for affected individuals.