Repair of Vesicovaginal Fsitula by Vaginal Approach
Keywords:
Vesicovaginal fsitula, Transvaginal approach, Hysterectomy, Obstructed laborAbstract
Surgical management of vesicovaginal fistula (VVF) is a matter of controversy. This study describes our experience with transvaginal repair of VVF in fifteen patients between September 2007 to August 2009 in Department of Urology, Nawaz Sharif Social Security Hospital, Lahore. Vesicovaginal fistula developed as a complication of total abdominal hysterectomy in nine patients and as a consequence of obstructed labour in six patients. Four of these patients had undergone prior surgery to close fistula. Transvaginal surgery was successful in first attempt in thirteen patients and remaining two were successfully managed in second attempt. In conclusion transvaginal approach to repair VVF is simple, with very high success rate and low morbidity.
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