Profile and repair success of vesico-vaginal fistula in Lahore.

Abstract

OBJECTIVE:

To describe the profile of patients with vesico-vaginal fistula (VVF) and success rate of the surgery.

DESIGN:

Descriptive study.

PLACE AND DURATION OF STUDY:

Sir Ganga Ram Hospital and Ghurki Trust Hospital, Lahore, between 1998 and 2002. patients and

METHODS:

All patients diagnosed as cases of vesico-vaginal fistula were included in the study. Those patients, who had previous unsuccessful surgery for vesico-vaginal repair, whether done in the hospital or outside, were also included. Their demographic profile and repair success was determined.

RESULTS:

Out of 2570 gynaecological admissions, 14 women had vesico-vaginal fistulae showing the prevalence of 0.55 / 100 gynaecological admissions. Obstetrical cause was found in 71.4% of the cases. The mean age of the patients was 34.85 +/- 6.3 years (range 25-45) with parity varying from 0-9 (median 4). The position of majority of the fistulas (57.2%) was high (vault, juxta-cervical). Success rate of the surgery in the study was 85.7%. Majority of the repairs (78.6%) were done through vaginal route.

CONCLUSION:

The most common cause of vesico-vaginal fistula in this study was obstetrical, either prolonged labour or caesarean hysterectomy. Although the success rate of repair was high, yet the attempt should be focussed on prevention.

• Authors: Maimoona Hafeez, Shaheena Asif, Hajira Hanif
• Journal: Journal of the College of Physicians and Surgeons--Pakistan : JCPSP (J Coll Physicians Surg Pak) Vol. 15 Issue 3 Pg. 142-4 (Mar 2005) ISSN: 1022-386X [Print] Pakistan
• PMID: 15808090 (Publication Type: Journal Article)

Topics

• Adult
• Cohort Studies
• Developing Countries
• Female
• Follow-Up Studies
• Humans
• Middle Aged
• Pakistan
• Retrospective Studies
• Risk Assessment
• Severity of Illness Index
• Treatment Outcome
• Urinary Incontinence (diagnosis, etiology, surgery)
• Urodynamics
• Urogenital Surgical Procedures (methods)
• Vesicovaginal Fistula (complications, diagnosis, surgery)