Volume : 6, Issue : 1, 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 :

<p>&nbsp;<b style="text-align: justify;"><span style="font-size:12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,serif">AIMS &amp; OBJECTIVES</span></b></p> <p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph;&#10;line-height:200%"><span style="font-size:12.0pt;line-height:200%;font-family:&#10;&quot;Times New Roman&quot;,serif">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.<o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph;&#10;line-height:200%"><b><span style="font-size:12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,serif">MATERIALS AND METHODS:</span></b><span style="font-size:12.0pt;line-height:200%;&#10;font-family:&quot;Times New Roman&quot;,serif"><o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph;&#10;line-height:200%"><span style="font-size:12.0pt;line-height:200%;font-family:&#10;&quot;Times New Roman&quot;,serif">This is a retrospective study conducted at NIZAM‘S institute of medical sciences in dept of urology from&nbsp; January 2013 to&nbsp; July 2016..<o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph;&#10;line-height:200%"><span style="font-size:12.0pt;line-height:200%;font-family:&#10;&quot;Times New Roman&quot;,serif">A total 52vesico vaginal fistula cases were studied in detail as per proforma.<o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph;&#10;line-height:200%"><span style="font-size:12.0pt;line-height:200%;font-family:&#10;&quot;Times New Roman&quot;,serif">All cases were subjected to clinical examination, ultrasonography, IVP, cystoscopy, vaginoscopy and CT cystogram for confirmation of diagnosis.<o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph;&#10;line-height:200%"><span style="font-size:12.0pt;line-height:200%;font-family:&#10;&quot;Times New Roman&quot;,serif">All cases were managed surgically by different modalities and results were analysed.<o:p></o:p></span></p> <p class="MsoNormal" style="line-height:200%"><b><span style="font-size:12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,serif">CONCLUSION<o:p></o:p></span></b></p> <p class="MsoNormal" style="line-height:200%"><span class="highlight"><span style="font-size: 12pt; line-height: 200%; font-family: &quot;Times New Roman&quot;, serif;">Recurrent</span></span><span class="apple-converted-space"><span style="font-size: 12pt; line-height: 200%; font-family: &quot;Times New Roman&quot;, serif;">&nbsp;</span></span><span style="font-size: 12pt; line-height: 200%; font-family: &quot;Times New Roman&quot;, serif;">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<span class="apple-converted-space">&nbsp;</span><span class="highlight">fistulae</span>, size and type of the<span class="apple-converted-space">&nbsp;</span><span class="highlight">fistula</span>, and obstetrical etiology were the recurrence risk factors.</span><b><span style="font-size:12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,serif"><o:p></o:p></span></b></p>