scholarly journals VESICO-VAGINAL FISTULA: EXPERIENCE OF 11 YEARS

2013 ◽  
Vol 20 (1) ◽  
Author(s):  
Taufik Rakhman Taher ◽  
Zulfikar Zulfikar ◽  
Irfan Wahyudi ◽  
Arry Rodjani
Keyword(s):  
Surgical Approach ◽  
Surgical Repair ◽  
Vaginal Fistula ◽  
Fistula Repair ◽  
Transvaginal Approach ◽  
Excellent Outcome ◽  
Common Location ◽  
Common Etiology ◽  
Vesico Vaginal Fistula ◽  
Obstetrical Trauma

Objective: To evaluate the outcome of surgical repair in patients with vesico-vaginal fistula at Cipto Mangunkusumo Hospital. Material & Method: A retrospective study of 30 patients with vesico-vaginal fistula, who underwent surgical repair of the fistula at Urology Department Cipto Mangunkusumo Hospital between the period of 1998-2008, were reviewed. Patients were analyzed with regard to age, location of fistula, etiology, size of fistula, and surgical approach. The outcome of the surgery was analyzed. Results: This study included 30 patients who underwent surgery with age between 18-69 years old. The most common etiology was due to obstetrical trauma and hysterectomy. Bladder trigone was the most common location of fistulae (40%). During the surgery the transvesical (43%) approach was commonly used. However, the most excellent outcome was surgery by transvesical-transvaginal approach (100%). Success rate of fistula repair was 73%. Conclusion: This disease is a medically and psychosocially devastating condition for the patient. The diagnosis was easy but complicated in decision of treatment. Best results were observed by transvesical-transvaginal approach. Keywords: Vesico-vaginal fistulae, surgical approach, surgical outcome.

scholarly journals Vesico-Vaginal Fistula Repair by a Vaginal Approach

2021 ◽  
pp. 1-6
Author(s):  
Jorrit Colenbrander ◽  
John Heesakkers ◽  
Frank Martens
Keyword(s):  
Predictive Factors ◽  
Surgical Procedure ◽  
Patient Characteristics ◽  
Primary Objective ◽  
Surgical Approaches ◽  
Vaginal Fistula ◽  
Fistula Closure ◽  
Fistula Repair ◽  
Transvaginal Approach ◽  
Vesico Vaginal Fistula

<b><i>Introduction:</i></b> The aim of this study is to determine the outcome of surgically treated vesico-vaginal fistulae (VVaFs) using a transvaginal approach with a Latzko technique. <b><i>Methods:</i></b> A retrospective chart study was conducted at the Department of Urology, Radboud University Medical Centre. Surgical approaches to repair VVaF, from 2014 to September 2020, were selected. Patients who underwent a transvaginal approach were included. The primary objective was fistula closure. Secondary objectives were predictive factors for the outcome of the surgical procedure, for example, patient characteristics, leakage on cystography 2 weeks postoperative, and surgery time. <b><i>Results:</i></b> Thirty-one patients had surgery for VVaF. Twenty-five procedures (81%) were performed transvaginally. Thirteen of these (52%) had successful transvaginal closure after the first attempt. Seven out of 12 had their second attempt at the time of analysis, of which 4 (57%) were successfully closed thereafter. After either 1 or 2 attempts with the transvaginal approach, 17 (68%) of the VVaFs were successfully closed, but 79% if patients who did not yet had a second attempt were taken into account with the current success extrapolated. Only few minor complications were observed. <b><i>Conclusion:</i></b> Transvaginal closure of VVaFs with a Latzko technique is successful in about 79% in either 1 or 2 attempts, with few minor complications. A second attempt in closing the fistula with a transvaginal approach is useful, and a previous transvaginal attempt is not a contraindication for a second transvaginal attempt in closing the VVaF surgically.

scholarly journals VESICO-VAGINAL FISTULA REPAIR

2006 ◽  
Vol 13 (03) ◽  
pp. 445-452
Author(s):  
MUMTAZ RASOOL ◽  
FARIHA MUMTAZ ◽  
SHAFQAT ALI TABASSUM
Keyword(s):  
Surgical Repair ◽  
Birth Trauma ◽  
Vaginal Fistula ◽  
Fistula Repair ◽  
Previous Surgery ◽  
Transvaginal Repair ◽  
Age Range ◽  
Inflammatory Changes ◽  
Study Setting ◽  
Vesico Vaginal Fistula

Objectives: To evaluate outcome of surgical repair of VVF with transabdominal and transvaginalapproaches. Design of study: Prospective study. Setting: Depart of Urology Bahawal Victoria Hospital Bahawalpur.Period: Jan 1999 to Dec 2004. Materials & Methods: All consecutive patients with VVF irrespective of age andaetiology were included in this study. Patients with very large VVF and involvement of bladder neck were excluded.These patients were analysed for results of surgical repair by trans-abdominal and transvaginal approaches. ResultsThis study included 26 patients with age range between 20-48 years (mean age of 34 years). Etiology of VVF wasobserved to be transabdominal hysterectomy in 15 patients, transvaginal hysterectomy in one patient. While obstructedprolonged labour caused VVF in 10 patients. Transabdominal repair was done in 18 patients while 08 patients haveundergone transvaginal repair after investigations and evaluation. We achieved 94.45% success with transabdominalrepair of VVF while 100% success with transvaginal repair. Conclusions:The etiology of this disease is preventable.It is best to wait for at least 03 months after occurrence of VVF, so that inflammatory changes due to previous surgery/birth trauma may have settled completely before attempting at repair. Best resultrs are achieved at first attempt ofrepair. Both approaches of surgical repair of VVF have good results.

scholarly journals Surgical repair of vesico-vaginal fistula: the need for an evidence-based approach

2018 ◽  
Vol 30 (2) ◽  
pp. 169-170
Author(s):  
Gin-Den Chen ◽  
Diaa E. E. Rizk ◽  
Holly E. Richter
Keyword(s):  
Surgical Repair ◽  
Evidence Based ◽  
Vaginal Fistula ◽  
Vesico Vaginal Fistula

V-GYN-PE/AD-MD-076 Pediatric Laparoscopic Congenital Vesico-vaginal Fistula Repair for Vaginal Agenesis

2016 ◽  
Vol 38 (5) ◽  
pp. 483
Author(s):  
L. Allen ◽  
Frank J. Penna ◽  
Paul R. Bowlin ◽  
Rakan I. Odeh ◽  
Walid A. Farhat
Keyword(s):  
Vaginal Fistula ◽  
Fistula Repair ◽  
Vaginal Agenesis ◽  
Vesico Vaginal Fistula

scholarly journals A Fictitious Replicated Display about the Effect of Physiotherapy and Health Education Programs on the Surgical Repair of Vesico-Vaginal Fistula

2021 ◽  
pp. 1-5
Author(s):  
Mahdya Bukhari ◽  
◽  
Abdulaziz Alorwan ◽  
Keyword(s):  
Health Education ◽  
Nonprofit Organizations ◽  
Surgical Repair ◽  
Control Group ◽  
P Value ◽  
Fistula Repair ◽  
Fistula Surgery ◽  
Favorable Influence ◽  
Postoperative Stress ◽  
Vesico Vaginal Fistula

Objectives: Surgery is the only effective therapy for the majority of Vesico-Vaginal (V-V) fistulae. The current research assessed the effect of a planned program of pre- and postoperative physiotherapy and health education on the outcome of V-V fistula surgery. Methods: We examined the postoperative outcomes of two groups of women with V-V fistulae recruited and followed up on by two local nonprofit organizations at a hospital in Saudi Arabia on April-October 2021. The first group of women (n = 99) underwent fistula repair using conventional procedures. The second group (n = 112) had a standardized surgical technique as well as a systematic pre- and postoperative health education and physiotherapy regimen. Results: The training had a strong favorable influence on overall recovery and urine incontinence in particular. The chances of recovery after physiotherapy were 2.7 times higher for women in the physiotherapy group than for control patients, and the likelihood of postoperative stress incontinence was significantly higher for patients in the control group than for those in the physiotherapy group (P value 0.001). Conclusion: A planned program of health education and physiotherapy provided by skilled nurses and physiotherapists increases the chance of a satisfactory result after V-V fistula repair surgery.

scholarly journals Simple and effective: transvaginal vesico-vaginal fistula repair with a modified Latzko technique

2017 ◽  
Vol 29 (5) ◽  
pp. 767-769 ◽  
Author(s):  
Olivia Cardenas-Trowers ◽  
John Heusinkveld ◽  
Kenneth Hatch
Keyword(s):  
Vaginal Fistula ◽  
Fistula Repair ◽  
Vesico Vaginal Fistula

scholarly journals Robotic vesico-vaginal fistula repair with no omental flap interposition

2016 ◽  
Vol 27 (8) ◽  
pp. 1277-1278 ◽  
Author(s):  
Alberto Martini ◽  
Eugenio Dattolo ◽  
Jacopo Frizzi ◽  
Donata Villari ◽  
Maria Cristina Paoletti
Keyword(s):  
Omental Flap ◽  
Vaginal Fistula ◽  
Fistula Repair ◽  
Vesico Vaginal Fistula

Robot-assisted Vesico-vaginal Fistula Repair: A Compilation

Urology ◽  
2018 ◽  
Vol 119 ◽  
pp. 1-4 ◽  
Author(s):  
Aditya P. Sharma ◽  
Ravimohan M. Mavuduru, ◽  
Girdhar S. Bora ◽  
Sudheer K. Devana ◽  
Shrawan K. Singh ◽  
...  
Keyword(s):  
Vaginal Fistula ◽  
Fistula Repair ◽  
Robot Assisted ◽  
Vesico Vaginal Fistula
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