Open AccessOutcome of Vesicovaginal Fistula Repair at Urology Department STH Swat
Author(s) -
. Nizamuddin,
Fazal Elahi,
Mumtaz Ali,
Fazli Akbar,
M. Sakhawat Hussain,
Shumaila Gul
Publication year - 2020
Publication title -
journal of saidu medical college
Language(s) - English
Resource type - Journals
ISSN - 1819-4583
DOI - 10.52206/jsmc.2020.10.2.321
Subject(s) - medicine , vesicovaginal fistula , genitourinary system , vagina , surgery , urinary system , fistula , obstructed labour , urinary diversion , hysterectomy , urology , caesarean section , pregnancy , bladder cancer , cancer , cystectomy , biology , genetics
Background: Vesicovaginal fistula is an abnormal passage between the bladder and the vagina , which leads to continuous , involuntary loss of urine through the vagina. It is the most usual type of acquired genitourinary fistulas.Objective: To determine outcomes of vesicovaginal fistula repair at Urology Department, Saidu Teaching Hospital, Swat.Material and Methods: This descriptive study was conducted in Department of Urology, Saidu Group of Teaching Hospitals, Swat from September, 2016 to February, 2019. Patients with age group of 25-65 years, diagnosed with VVF were repaired either through abdominal or vaginal route. These patients were prospectively analysed and the demographic profile, route of surgery and outcomes were noted down.Results: A total of 58 patients were included in the study. The causes were obstructed labour in 26 patients, post-operative trans abdominal hysterectomy and caesarean section in 24 and 6 cases respectively. There was 100% success rate in abdominal repairs as compared to combined approach. Among the post-operative complications, bladder storage dysfunction was on the top, followed by urinary tract infections and wound infections.Conclusion: The most common cause of VVF was prolonged obstructed labour. Overall, the success rate was 96.5%. Irritative lower urinary tract symptoms were most commonly observed post operatively.