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

Authors

  • 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.

References

Hafeez M, Asif S, Hanif H. Profile and Repair Success of

vesico-vaginal fistula in Lahore. J Coll Physicians Surg Pak

;15(3):142-4.

Derry DE. Notes on five pelves of women of eleventh

dynasty in Egypt. J Obstet Gynecol Br Emp 1935;42:490-4.

Corn J. Lessons from the developing world: Obstructed labor

and the vesico-vaginal fistula. Med Gen Med 2003;5(3):24.

Miller NF. Treatment of Vesico-vaginal fistulae. Am J Obstet

Gynecol 1935;30:675-9.

Jonas U, Petri E. Genitourinary fistulae. In Stanton SL ed.

Clinical Gynecologic Urology. St. Louis: CV Mosbey, 1984.

p. 238-55.

Symmonds RE. Incontinence: Vesical and urethral fistulae.

Clin Obstet Gynecol 1984;27:499-514.

Lee Al, Symmonds RE, Williams TJ: Current status of

genitourinary fistulae. Obstet Gynecol 1988;72:313-9.

Tancer ML. Observation on prevention and management of

vesico-vaginal fistulae after total hysterectomy. Surg

Gynecol Obstet. 1992;175(6):501-6.

Parveen F, Shah Q. Vesico-vaginal fistula: A challenge for

women in developing countries. J Coll Physicians Surg Pak

;8:230-2.

Rangnekar NP, Imdad Ali N, Kaul SA, Pathak HR. Role of

the martius procedure in the management of urinary-vaginal

fistulas. J Am Coll Surg 2000;191(3):259-63.

Downloads

Published

2009-09-01

How to Cite

Mehmood, A., Alvi, M. S., Rana, S., Raziq, S., Siddiq, L., & Shah, M. Y. (2009). VESICO-VAGINAL FISTULA: INTERPOSITION FLAP, A KEY TO SUCCESS. Journal of Ayub Medical College Abbottabad, 21(3), 29–31. Retrieved from https://jamc.ayubmed.edu.pk/index.php/jamc/article/view/3182