Bladder spasm following urogenital fistula repair

Ekwedigwe, Kenneth Chinedu; Isikhuemen, M. E.; Sunday-Adeoye, Ileogben; Yakubu, Emmanuel; Eliboh, M. O.

doi:10.1002/ijgo.12226

Cited by 4 publications

(3 citation statements)

References 13 publications

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“…Although postoperative pain may be absent, spasms may still occur and may necessitate the utilization of alternative medications. In their study, Ekwedigwe and colleagues (Ekwedigwe et al, 2017). investigated the occurrence of bladder spasms in a cohort of patients who underwent urogenital fistula repair through various surgical routes.…”

Section: Management Of Overactive Bladder In Vesicovaginal Fistulamentioning

confidence: 99%

Current Trends and Controversies on Female Genitourinary Fistula: A Review Article

Fehintola,

Ajiboye,

Foyeke

et al. 2023

GJHS

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Female genitourinary fistula (FGF) is an atypical connection between the female genitourinary system and the urinary tract. The abovementioned issue presents a dire public health concern and significantly affects the affected individuals’ quality of life. The classification of fistulae arising from the genitourinary tract encompasses a range of types, including vesicovaginal (VVF), rectovaginal (RVF), uterovesical (UVF), and urinary fistula, with the particular manifestation dependent upon the site of perforation. The development of consistent guidelines for FGF care poses a challenge due to the variability of clinical conditions. The selection of an appropriate treatment protocol is contingent upon the surgeon conducting the treatment and the resources at their disposal. In the medical field, it is advisable for surgeons to contemplate implementing conservative treatment methods, particularly in patients thoroughly assessed and deemed suitable for this approach. Delayed repair of FGF results in superior outcomes compared to early repair. The transvaginal repair approach is favored due to its advantageous features. Anticholinergic pharmacotherapeutics may be employed during the postoperative phase to enhance the therapeutic course of the bladder. Healthcare providers can refer their patients to a tertiary care facility with advanced resources and specialized expertise, provided the necessary facilities are available. Surgeons undergoing training and adapting to emerging trends are advised to enhance their proficiency in repairing vesicovaginal fistula (VVF).

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Section: Management Of Overactive Bladder In Vesicovaginal Fistulamentioning

confidence: 99%

Current Trends and Controversies on Female Genitourinary Fistula: A Review Article

Fehintola,

Ajiboye,

Foyeke

et al. 2023

GJHS

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show abstract

“…The highest incidence of bladder spasms was observed among patients with vault fistula, followed by those with vesicouterine fistula. [67] Abdominal approach essentially requires bladder splitting and results in a higher incidence of bladder spasm however, this increase may not be significant. A reduction in the tension at the suture line may prevent/reduce the postoperative bladder spasms.…”

Section: The Principles Of Vesicovaginal Fistula Repairmentioning

confidence: 99%

“…[69] Besides, all patients post VVF repair will have continuous catheter drainage for few weeks, which is one of the nonmodifiable factors causing bladder spasm. [67] Anticholinergics, along with adequate analgesics in the 1 st postoperative week, may reduce patient discomfort and avoid unnecessary tension at the suture line.…”

Section: The Principles Of Vesicovaginal Fistula Repairmentioning

confidence: 99%

Vesicovaginal fistula: Review and recent trends

Rajaian¹,

Murugavaithianathan²,

Panda³

2019

Indian J Urol

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Vesicovaginal fistula (VVF) is an abnormal communication between the bladder and the vagina. Prompt diagnosis and timely repair are essential for successful management of these cases. As the clinical scenario is variable, it is difficult to frame uniform guidelines for the management of VVF. Hence, the management protocol is dependent on the treating surgeon and the available resources. Conservative methods should be used in carefully selected patients. Delayed repair is better than the early repair of VVF. Transvaginal route for repair is preferred as it has low morbidity, higher success rates, and minimal complications. Anticholinergics should be used in the postoperative period for better chance of bladder healing. When facilities are available, all the patients may be referred to a tertiary care center where expertise and advanced resources are available. Trained surgeons adapting the new trends should refine the art of VVF repair.

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Impact of vesicovaginal fistula repair on urinary and sexual function: patient-reported outcomes over long-term follow-up

Panaiyadiyan

Nayyar

et al. 2021

Int Urogynecol J

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Bladder spasm following urogenital fistula repair

Abstract: The incidence of bladder spasm following surgical repair of urogenital fistula appeared high. The occurrence of bladder spasms could influence repair outcomes.

Cited by 4 publications

References 13 publications

Current Trends and Controversies on Female Genitourinary Fistula: A Review Article

Current Trends and Controversies on Female Genitourinary Fistula: A Review Article

Vesicovaginal fistula: Review and recent trends

Impact of vesicovaginal fistula repair on urinary and sexual function: patient-reported outcomes over long-term follow-up

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