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Repair of vesicovaginal fistula by the transabdominal route: outcome at a north Indian tertiary hospital

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Abstract

Introduction and hypothesis

The purpose of this study is to present the outcome of management of vesicovaginal fistula (VVF) by the transabdominal route.

Methods

Between January 2001 and December 2010, 48 patients suffering from VVF were managed through the transabdominal route.

Results

The success rate following first repair was 87.5%. Patients who failed the first repair (n = 6) were managed again by the transabdominal route (second attempt). Two of these patients were cured, while another patient was cured after prolonged catheter drainage. One patient was managed by ureterosigmoidostomy (Mainz II) pouch but died after 6 months. The remaining two patients refused further treatment and were lost to follow-up.

Conclusions

Transabdominal repair of VVF in properly selected patients results in satisfactory treatment outcome.

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References

  1. Hilton P (2003) Vesico-vaginal fistulas in developing countries. Int J Gynecol Obstet 82(3):285–295

    Article  CAS  Google Scholar 

  2. Genadry RR, Creanga AA, Roenneburg ML, Wheeless CR (2007) Complex obstetric fistulas. Int J Gynecol Obstet 99(Suppl 1):S51–S56

    Article  Google Scholar 

  3. Goyal NK, Dwivedi US, Vyas N, Rao MP, Trivedi S, Singh PB (2007) A decade’s experience with vesicovaginal fistula in India. Int Urogynecol J Pelvic Floor Dysfunct 18(1):39–42

    Article  PubMed  Google Scholar 

  4. Steiner AK (1996) The problem of post-partum fistulas in developing countries. Acta Trop 62(4):217–223

    Article  PubMed  CAS  Google Scholar 

  5. El-Lamie IK (2008) Urogenital fistulae: changing trends and personal experience of 46 cases. Int Urogynecol J Pelvic Floor Dysfunct 19(2):267–272

    Article  PubMed  Google Scholar 

  6. Wall LL, Karshima JA, Kirschner C, Arrowsmith SD (2004) The obstetric vesicovaginal fistula: characteristics of 899 patients from Jos, Nigeria. Am J Obstet Gynecol 190(4):1011–1019

    Article  PubMed  Google Scholar 

  7. Hanif MS, Saeed K, Sheikh MA (2005) Surgical management of genitourinary fistula. J Pak Med Assoc 55(7):280–284

    PubMed  Google Scholar 

  8. Romics I, Kelemen Z, Fazakas Z (2002) The diagnosis and management of vesicovaginal fistulae. BJU Int 89(7):764–766

    Article  PubMed  CAS  Google Scholar 

  9. Ockrim JL, Greenwell TJ, Foley CL, Wood DN, Shah PJ (2009) A tertiary experience of vesico-vaginal and urethro-vaginal fistula repair: factors predicting success. BJU Int 103(8):1122–1126

    Article  PubMed  Google Scholar 

  10. Smith GL, Williams G (1999) Vesicovaginal fistula. BJU Int 83(5):564–569

    Article  PubMed  Google Scholar 

  11. Angioli R, Penalver M, Muzii L, Mendez L, Mirhashemi R, Bellati F, Crocè C, Panici PB (2003) Guidelines of how to manage vesicovaginal fistula. Crit Rev Oncol Hematol 48(3):295–304

    Article  PubMed  Google Scholar 

  12. Waaldijk K (2004) The immediate management of fresh obstetric fistulas. Am J Obstet Gynecol 191(3):795–799

    Article  PubMed  Google Scholar 

  13. Kelly J, Kwast BE (1993) Epidemiologic study of vesicovaginal fistulas in Ethiopia. Int Urogynecol J 4(5):278–281

    Article  Google Scholar 

  14. Kelly J, Kwast BE (1993) Obstetric vesicovaginal fistulas: evaluation of failed repairs. Int Urogynecol J 4(5):271–273

    Article  Google Scholar 

  15. Fitzpatrick C, Elkins TE (1993) Plastic surgical techniques in the repair of vesicovaginal fistulas: a review. Int Urogynecol J 4(5):287–295

    Article  Google Scholar 

  16. Ezzat M, Ezzat MM, Tran VQ, Aboseif SR (2009) Repair of giant vesicovaginal fistulas. J Urol 181(3):1184–1188

    Article  PubMed  Google Scholar 

  17. Singh S, Chandhiok N, Singh Dhillon B (2009) Obstetric fistula in India: current scenario. Int Urogynecol J Pelvic Floor Dysfunct 20(12):1403–1405

    Article  PubMed  Google Scholar 

  18. Browning A (2008) Obstetric fistula: current practicalities and future concerns. Int Urogynecol J 19(3):333–334

    Article  Google Scholar 

  19. O’Conor VJ Jr, Sokol JK, Bulkley GJ, Nanninga JB (1973) Suprapubic closure of vesicovaginal fistula. J Urol 109(1):51–54

    PubMed  Google Scholar 

  20. Carr LK, Webster GD (1996) Abdominal repair of vesicovaginal fistula. Urology 48(1):10–11

    Article  PubMed  CAS  Google Scholar 

  21. Blaivas JG, Heritz DM, Romanzi LJ (1995) Early versus late repair of vesicovaginal fistulas: vaginal and abdominal approaches. J Urol 153(4):1110–1112

    Article  PubMed  CAS  Google Scholar 

  22. Gil-Vernet JM, Gil-Vernet A, Campos JA (1989) New surgical approach for treatment of complex vesicovaginal fistula. J Urol 141(3):513–516

    PubMed  CAS  Google Scholar 

  23. Evans DH, Madjar S, Politano VA, Bejany DE, Lynne CM, Gousse AE (2001) Interposition flaps in transabdominal vesicovaginal fistula repairs: are they really necessary? Urology 57(4):670–674

    Article  PubMed  CAS  Google Scholar 

  24. Hilton P, Ward A (1998) Epidemiological and surgical aspects of urogenital fistulae: a review of 25 years’ experience in south-east Nigeria. Int Urogynecol J Pelvic Floor Dysfunct 9(4):189–194

    Article  PubMed  CAS  Google Scholar 

  25. Azimuddin K, Khubchandani IT, Stasik JJ, Rosen L, Riether RD (1999) Neoplasia after ureterosigmoidostomy. Dis Colon Rectum 42(12):1632–1638

    Article  PubMed  CAS  Google Scholar 

  26. Eisen M, Jurkovic K, Altwein JE, Schreiter F, Hohenfellner R (1974) Management of vesicovaginal fistulas with peritoneal flap interposition. J Urol 112(2):195–198

    PubMed  CAS  Google Scholar 

  27. Kapoor R, Ansari MS, Singh P, Gupta P, Khurana N, Mandhani A, Dubey D, Srivastava A, Kumar A (2007) Management of vesicovaginal fistula: an experience of 52 cases with a rationalized algorithm for choosing the transvaginal or transabdominal approach. Indian J Urol 23(4):372–376

    Article  PubMed  Google Scholar 

  28. Mubeen RM, Naheed F, Anwar K (2007) Management of vesicovaginal fistulae in urological context. J Coll Physicians Surg Pak 17(1):28–31

    PubMed  Google Scholar 

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Conflicts of interest

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Authors and Affiliations

  1. Department of Urology, Chhatrapati Shahuji Maharaj Medical University (CSMMU) (Formerly King George’s Medical University [KGMU]), Lucknow, 226003, India

    Vishwajeet Singh, Rahul Janak Sinha & S N Sankhwar

  2. Department of Obstetrics and Gynecology, Queen Mary Hospital CSMMU (formerly KGMU), Lucknow, India

    Seema Mehrotra

  3. Department of Surgery, Era’s Medical College, Lucknow, Uttar Pradesh, India

    Sanjay Bhatt

Authors
  1. Vishwajeet Singh
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  2. Rahul Janak Sinha
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  3. Seema Mehrotra
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  4. S N Sankhwar
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  5. Sanjay Bhatt
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Corresponding author

Correspondence to Rahul Janak Sinha.

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Singh, V., Sinha, R.J., Mehrotra, S. et al. Repair of vesicovaginal fistula by the transabdominal route: outcome at a north Indian tertiary hospital. Int Urogynecol J 23, 411–416 (2012). https://doi.org/10.1007/s00192-011-1544-7

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  • DOI: https://doi.org/10.1007/s00192-011-1544-7

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