scholarly journals Surgical Repair of Vesicovaginal Fistula in a Patient with Previous Hysterectomy and Review

2013 ◽  
Vol 01 (03) ◽  
pp. 15-17
Author(s):  
继红 陆
Keyword(s):  
Vesicovaginal Fistula ◽  
Surgical Repair

scholarly journals Doctor! Will I be dry? Factors determining recurrence after vesicovaginal fistula repair

2018 ◽  
Vol 13 (2) ◽  
Author(s):  
Aziz Abdullah ◽  
Sher Shah Syed ◽  
Nuzhat Farooqui ◽  
Sajjad Siddiqui
Keyword(s):  
Multivariate Analysis ◽  
Prognostic Factors ◽  
Confidence Interval ◽  
Odds Ratio ◽  
Vesicovaginal Fistula ◽  
Surgical Repair ◽  
Recurrence Risk ◽  
Fistula Repair ◽  
Careful Evaluation ◽  
Delayed Reconstruction

Aims: To evaluate various prognostic factors which determine outcome after surgical repair of VVF. Methods: A retrospective analysis of the record of 640 patients which underwent surgical repair of VVF during a period from Jan 2006 to June 2011. Multivariate analysis of the record was done using SPSS-19 software determining odds ratio with 95% confidence interval. Results: 640 patients underwent surgical repair of VVF. Overall success rate was 87.2%. Multivariate analysis determined that recurrence of VVF was significantly related to multiplicity (5 fold recurrence risk), pre-operative size of VVF (3 fold risk), secondary repair (3 fold risk) and etiology of the fistula (2 fold risk). Interposition of flap and delayed reconstruction was related to successful surgical outcome. Age, parity, route of repair and location of fistula were not significant prognostic factors for recurrence. Conclusions: Successful surgical repair of VVF require careful evaluation of various factors including number, size, previous attempts to surgical repair and etiology of VVF. One should opt for transabdominal route with delayed reconstruction and interposition of flap if above mentioned factors are present. 

scholarly journals Success Rate of Urogenital Fistula Repair and Predictors of Success-An Audit of Ten Years Data

2018 ◽  
Vol 13 (2) ◽  
pp. 15-18
Author(s):  
Nasira Tasnim ◽  
Kauser Bangash ◽  
Oreekah Amin ◽  
Afshan Batool ◽  
Nosheela Javed
Keyword(s):  
Success Rate ◽  
Vesicovaginal Fistula ◽  
Surgical Repair ◽  
Previous Attempt ◽  
Medical Sciences ◽  
Fistula Repair ◽  
Urogenital Fistula ◽  
History Of ◽  
Repair Attempts ◽  
And Child Health

Aims: To evaluate the association of various predictive factors with the outcome of surgical repair of vesicovaginal fistula. Methods: The retrospective analysis was conducted at Maternal and Child Health, Pakistan Institute of Medical Sciences, Islamabad, and it comprised data related to patients having undergone vesicovaginal fistula repair from January 2008 to June 2018. Statistical analysis of the record was done using SPSS 21 software. Results: A total of 364 patients of urogenital fistula repair were reviewed, with an overall success in 318 (87.4%) cases. There were no significant differences in fistula duration (p0.4), size of fistula (p 0.34) and accessibility (p0.5) between successful and unsuccessful group. However, we found the association between the type of fistula and history of previous repair attempts with the success of fistula repair. Primary surgical repair of vesicovaginal (90.0%), vesicouterine (86%), ureteric (100%) and ureterovaginal (98%) were more successful as compared to repair with the history of 1 previous attempt (90.3%, 83.3%, 66.6% and 75% respectively). Success rate was found to further decrease with the history of more than one repair attempt of vesicovaginal (71.4%) and vesicouterine (66.5%) fistula. Further, successful fistula repair in women was also found to be significantly associated with parity less than 4 (p 0.038). Conclusion: Despite the higher success rate of urogenital fistula repair, it’s important to refer the urogenital fistula patients timely to specialized fistula centres in order to achieve best results.

An Instrument for the Surgical Repair of a Vesicovaginal Fistula

1977 ◽  
Vol 117 (2) ◽  
pp. 231-231 ◽  
Author(s):  
Gaetano Mobieio ◽  
Sergio Cosciani Cunhco
Keyword(s):  
Vesicovaginal Fistula ◽  
Surgical Repair

scholarly journals Platelet-Rich Plasma as Adjuvant Therapy for Recurrent Vesicovaginal Fistula: A Prospective Case Series

2019 ◽  
Vol 8 (12) ◽  
pp. 2122
Author(s):  
Dominika Streit-Ciećkiewicz ◽  
Konrad Futyma ◽  
Paweł Miotła ◽  
Magdalena Emilia Grzybowska ◽  
Tomasz Rechberger
Keyword(s):  
Vesicovaginal Fistula ◽  
Surgical Repair ◽  
Platelet Rich Plasma ◽  
Case Series ◽  
Test Results ◽  
Surgical Closure ◽  
Treatment Standard ◽  
Prospective Case Series ◽  
Latzko Procedure

Vesicovaginal fistula (VVF) is the nonphysiological communication between the bladder and vagina, and surgical closure is the gold treatment standard. Despite that successful closure occurs in around 85% of patients after the first repair, recurrence remains a highly distressing complication for patients and surgeons. The aim of our study was to evaluate the efficacy of a platelet-rich plasma (PRP) injection as a supportive treatment in the surgical repair of recurrent VVF. Between January 2018 and July 2019, 16 patients with recurrent VVF were injected with PRP in a tertiary gynecological department. Subsequently, a surgical Latzko procedure for VVF closure was scheduled 6–8 weeks after the PRP injection allowing proper neovascularization and remodeling of surrounding tissues. Patients were considered cured if no leakage was observed after surgery and negative dye test results were indicated at follow-up. All patients who were examined therein remained dry. To the best of our knowledge, this is the first study aiming to assess PRP injections as a supporting treatment prior to surgical procedure for recurrent VVF. Preliminary results are encouraging, and we incorporated this method in our clinical practice. Further reports on a larger group will follow.

scholarly journals Outcome and predictors of surgical repair of obstetric vesicovaginal fistula in a teaching hospital in ethiopia: retrospective cohort study

2018 ◽  
Vol 13 (2) ◽  
Author(s):  
Demisew Amenu ◽  
Ahadu Workineh ◽  
Desta Hika
Keyword(s):  
Cohort Study ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Vesicovaginal Fistula ◽  
Surgical Repair ◽  
Obstetric Fistula ◽  
Success Rates ◽  
Fistula Repair ◽  
Obstructed Labor ◽  
Cohort Study Design

Aims: To determine outcomes of obstetric fistula repair and predictors of outcomes among patients with obstetric vesicovaginal fistula. Methods: A Hospital based Retrospective Cohort study design was conducted on all patients with Obstetric vesicovaginal Fistula, who were admitted to Gynecology ward, and had surgical repair from January 2011 to December 2014. Data was collected from patients’ chart, operation logbook and discharge logbook which were filled up from the entry of the patient to the hospital till her discharge. At discharge, a dye test was done to determine the outcome of repair. Results: 168 patients with obstetric vesicovaginal fistula were repaired during the study period. The age of the women ranged from 12 to 45 years with mean of 25 (± 6) years. Eighty percent of patients were laboring for two or more days, 46.4% delivered abdominally, and 85.7% ended up in stillbirth. Out of 93.4% patients who had successful closure of their fistula, 84.5% of patients had their fistula healed and continent, 8.9 % of them developed urinary incontinence while 6.5% of fistula repair had failed at the time of discharge. Unsuccessful fistula repair was significantly associated with being divorced/widowed (AOR 2.65 95%CI 1.06,6.67), Moderate/severe vaginal scaring (AOR5.25 95% CI 2.19, 12.60). Conclusions: In this study most fistula patients are older than 18 years, referred from health centers either for cephalopelvic disproportion or obstructed labor after prolonged labor at home, high success rates were achieved with surgical repair, and being divorced /widowed and marked vaginal scarring are predictors for unsuccessful fistula repair. Therefore, increasing access to comprehensive emergency obstetric and new born care is essential to minimize the delay contributing to perinatal mortality and obstetric fistula.

Surgical Repair of a Vesicovaginal Fistula

2014 ◽  
Vol 21 (2) ◽  
pp. S46-S47
Author(s):  
A. Fazari ◽  
I. Grias ◽  
W. Mohamed ◽  
E. Babiker ◽  
J. Loehr ◽  
...  
Keyword(s):  
Vesicovaginal Fistula ◽  
Surgical Repair

Acute pancreatitis in children with idiopathic vs neuromuscular scoliosis post surgical repair

2001 ◽  
Vol 120 (5) ◽  
pp. A643-A644 ◽  
Author(s):  
D MEHTA ◽  
C FESTA ◽  
K DABNEY ◽  
M THEROUX ◽  
F MILLER
Keyword(s):  
Acute Pancreatitis ◽  
Surgical Repair ◽  
Neuromuscular Scoliosis
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