Characteristics of vesicovaginal fistula with operative measures at tertiary referral hospital

Abstract

Introduction: Vesicovaginal fistula (VVF) is an abnormality urinary bladder and vaginal organ. We evaluated the success rate of the surgery in VVF therapy.
Methods: Data were obtained from medical records of an urogynaecology outpatient clinic from 2016 to 2018. 
Results: From 2016 to 2018, there were 35 patients with VVF. Nineteen from 35 patients were conservatively treated and 16 patients were operated. Then, 15 patients (93.75%) had transvaginally treatment, and 1 patient (12.5%) had transabdominally treatment. Fistula repair surgeries were conducted at 10 patients (62.5%) in more than 3 months after their complaint of urine leaking. Six patients (37.5%) had it in less than 3 months. Three patients got repair treatment (18.75%) due to obstetric management, 12 patients (75%) due to gynecological surgery, and 1 patient due to urological problem. Eleven out of the 16 cases (68.75%) got repair treatment in this hospital, then had success surgery.
Conclusion: The most common cause of VVF was gynecological surgery. The success rate of VVF repair was moderate.

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