Transabdominal repair of vesicovaginal fistula: an experience of 27 cases. | [Pakistan Journal of Medical Sciences • 2010]

Author(s):

1. Mohammad Zarin: Department of Surgery, DHQ Hospital, Battagram, Hazara, Pakistan

2. Mansoor Khan: Ayub Teaching Hospital, Abbottabad, Pakistan

3. Mujeeb-Ur-Rehman: Department of Surgery, Khyber Teaching Hospital, Peshawar, Pakistan

4. Muhammad Rafiq Afridi: Department of Surgery, Khyber Teaching Hospital, Peshawar, Pakistan

5. Mahmud Aurangzeb: Department of Surgery, Khyber Teaching Hospital, Peshawar, Pakistan

Abstract:

Objective: To review the causes of vesicovaginal fistula and outcome of its repair through transabdominal approach. Methodology: This is a descriptive cross sectional study which was conducted in Surgical “D” unit, Khyber Teaching Hospital, Peshawar from January 2004 to December 2009. The record of all cases of vesicovaginal fistula that had undergone transabdominal repair was reviewed. Complex vesicovaginal fistula cases were excluded. Operative findings and procedure’s details were obtained from operation notes. Post-operative follow up findings after one week, three weeks, forty days and three months were noted for every case. Results: A total of 27 cases had undergone transabdominal repair for vesicovaginal fistula with age ranging from 26 to 63 years. Twenty two cases developed vesicovaginal fistula as a result of obstructed labour and five as a result of Gynaecological surgery (post-hysterectomy). Mean post-operative hospital stay was seven days. Failure of repair was seen in one case only. Five cases were lost during follow up. Eight (29.63%) cases developed urinary tract infection, and two (7.40%) cases developed transient urinary stress incontinence. Conclusion: This study suggests that obstetrical trauma is the commonest cause for developing vesicovaginal fistula and the transabdominal approach gives satisfactory results in its repair.

Page(s): 581-584

DOI: DOI not available

Published: Journal: Pakistan Journal of Medical Sciences, Volume: 26, Issue: 3, Year: 2010

Keywords:

Keywords are not available for this article.

References:

References are not available for this document.

Citations

Citations are not available for this document.

Citations

Downloads

Views