Outcome of vesicovaginal fistulae with emphasis on recurrent vesicovaginal fistulae - An institutional experience.

Dr.Surendra Reddy; Dr.Rahul Devraj; Dr.Ramreddy Ch; Dr.Jaheer Abbas Shaik; Dr.Vidyasagar S; Dr. Ramchandraiah G

Volume : VI, Issue : I, January - 2017

Outcome of vesicovaginal fistulae with emphasis on recurrent vesicovaginal fistulae - An institutional experience.

Dr. Surendra Reddy, Dr. Rahul Devraj, Dr. Ramreddy Ch, Dr. Jaheer Abbas Shaik, Dr. Vidyasagar S, Dr. Ramchandraiah G

Abstract :

AIMS & OBJECTIVES

To study the vesicovaginal fistulae in relation to etiology, size, location, various surgical modalities, outcomes and post op complications of VVF repair with emphasis on recurrence and its management.

MATERIALS AND METHODS:

This is a retrospective study conducted at NIZAM‘S institute of medical sciences in dept of urology from January 2013 to July 2016..

A total 52vesico vaginal fistula cases were studied in detail as per proforma.

All cases were subjected to clinical examination, ultrasonography, IVP, cystoscopy, vaginoscopy and CT cystogram for confirmation of diagnosis.

All cases were managed surgically by different modalities and results were analysed.

CONCLUSION

Recurrent VVF is difficult to treat, but excellent results can still be achieved by strictly sticking to the principles of surgical repair ofVVF with interpositional graft.Multiple fistulae, size and type of the fistula, and obstetrical etiology were the recurrence risk factors.