VESICO-VAGINAL FISTULA: INTERPOSITION FLAP, A KEY TO SUCCESS
AbstractBackground: Vesico-vaginal Fistula (VVF) is an abnormal communication between bladder andvagina that causes continuous discharge of urine in to vaginal vault. The objective of this study is todescribe current trends of aetiology and repair of Vesico-vaginal Fistulae. This is a DescriptiveStudy, conducted at Armed Forces Institute of Urology, Rawalpindi and Combined MilitaryHospital, Kharian between May 2001 and May 2007. Methods: All patients diagnosed as cases ofvesico-vaginal fistulae were included in the study. Their demographic profile and repair success wasdetermined. Results: A total of 86 patients were included in the study. The mean age of the patientswas 35.5 years (range 25–46). Total abdominal hysterectomy was the most common cause (53% ofthe cases) followed by obstetric causes (43.92% of the cases). Success rate of the surgery in the studywas 97.5%. Conclusion: The common causes of vesico-vaginal fistula in this study were totalabdominal hysterectomy and obstetric causes. The success rate was high, yet the attempt should bemade to prevent this socially distressing condition.Keywords: VVF, Fistula, Vesico-vaginal Repair.
Hafeez M, Asif S, Hanif H. Profile and Repair Success of
vesico-vaginal fistula in Lahore. J Coll Physicians Surg Pak
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
Jonas U, Petri E. Genitourinary fistulae. In Stanton SL ed.
Clinical Gynecologic Urology. St. Louis: CV Mosbey, 1984.
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
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.