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Transvaginal genital fistula repair with insertion of F oley catheter via fistula tract
Author(s) -
Fang Gui,
Hong Li,
Li Bingshu,
Liu Cheng,
Wu Debin,
Hong Shasha,
Guo Wenjun,
Yang Qing,
Zhao Yang,
Hu Ming
Publication year - 2015
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.12664
Subject(s) - medicine , fistula , surgery , blood loss , catheter , vesicovaginal fistula , sex organ , genetics , biology
Aim Genital fistula is one of the most devastating injuries in women. Despite advances in medical care, it continues to be a distressing problem, and the success rate of repair surgery is still limited. We herein describe our experience with the surgical approach using F oley catheter to repair genital fistula after gynecological surgery. Methods We retrospectively reviewed 29 patients who had received genital fistula repair surgery with F oley catheter between O ctober 2011 and D ecember 2013. Based on traditional transvaginal genital fistula repair surgery, we inserted a F oley catheter into the bladder or intestine through the fistula opening. As a result, the fistula opening could be tracked, which allows for a clear view to improve fistula repair. All 29 patients were followed up at 1, 4, and 12 weeks postoperatively. Results Of the 29 patients, 28 had successful surgical outcome (96.55% success rate). The mean operative time was 85 ± 8.1 min. The mean blood loss was 109 ± 23.4 mL. No intraoperative complications were observed. The mean postoperative hospitalization time was 10 ± 2.8 days. The follow‐up rate was 100%. Conclusions Repair of transvaginal genital fistula using F oley catheter had a high success rate, short operative time, minimal blood loss, low morbidity and short hospital stay. Therefore, this approach is minimally invasive and effective.