https://doi.org/10.4081/uij.2019.203

Vesico-vaginal fistula: A clinical study

Vol. 31 No. 1 (2019)
Submitted: 11 September 2017
Accepted: 31 May 2019
Published: 14 June 2019
Fistula, Hysterectomy, Iatrogenic, Obstructive labour, Vesico-vaginal
Abstract Views: 620
PDF: 265
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Authors

S.V. Krishna Reddy
krishnareddysv@narayanagroup.com
https://orcid.org/0000-0003-4614-2656
Department of Urology, Narayana Medical College and Hospital, Nellore, Andhra Pradesh, India.
Ahammad Basha Shaik
Department of Community Medicine, Narayana Medical College and Hospital, Nellore, Andhra Pradesh, India.

In a retrospective study, the records of 34 women with a mean ± SD age of the patients was 36.62 ± 9.02 years were assessed; 32.35% of the vesico-vaginal Fistula (VVF) occurred after abdominal hysterectomy, 11.77% after Caesarean section, 32.35% after difficult vaginal delivery and 23.53% after instrumental delivery. Six women (17.64%) had a previous failed repair. The duration (mean ± SD) of the VVF was 5.68 ± 1.59 months. Of the 34 VVF patients, 20 (58.82%) were Mid-Vaginal VVF, 8 (23.53%) were Circumferential VVF, 3 (8.82%) were Juxta cervical VVF and 3 (8.82%) were Juxta Urethral VVF. An abdominal approach was used in 21 cases (61.76%), vaginal repair was contemplated in 8 (23.53%) cases and Laparoscopic in 5 (14.71%). At a mean duration of follow-up was 33.06 ± 1.72 months and the VVF was cured in 28 (82.4%) patients. Only previous intervention and timing of surgery (P=0.004) and surgical approach (P=0.02) maintained significance in our study. An abdominal/ Laparoscopic approach seems to give superior results. Previous failed repair had a significant negative effect on success. A late repair (≥6 months) is associated with higher success rates.

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How to Cite

Reddy, S. K., & Shaik, A. B. (2019). Vesico-vaginal fistula: A clinical study. Urogynaecologia International Journal, 31(1). https://doi.org/10.4081/uij.2019.203

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