VESICO-VAGINAL FISTULA: INTERPOSITION FLAP, A KEY TO SUCCESS

Arshad Mehmood, M Sarwar Alvi, Shahid Rana, Sohail Raziq, Lubna Siddiq, M Yousaf Shah

Abstract


Background: Vesico-vaginal Fistula (VVF) is an abnormal communication between bladder and
vagina that causes continuous discharge of urine in to vaginal vault. The objective of this study is to
describe current trends of aetiology and repair of Vesico-vaginal Fistulae. This is a Descriptive
Study, conducted at Armed Forces Institute of Urology, Rawalpindi and Combined Military
Hospital, Kharian between May 2001 and May 2007. Methods: All patients diagnosed as cases of
vesico-vaginal fistulae were included in the study. Their demographic profile and repair success was
determined. Results: A total of 86 patients were included in the study. The mean age of the patients
was 35.5 years (range 25–46). Total abdominal hysterectomy was the most common cause (53% of
the cases) followed by obstetric causes (43.92% of the cases). Success rate of the surgery in the study
was 97.5%. Conclusion: The common causes of vesico-vaginal fistula in this study were total
abdominal hysterectomy and obstetric causes. The success rate was high, yet the attempt should be
made to prevent this socially distressing condition.
Keywords: VVF, Fistula, Vesico-vaginal Repair.

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