Comparison the Success Rate of Vesicovaginal Fistula Repair Surgical With Transvaginal and Transabdominal Procedure : Meta Analysis

Pattinama, Norma; Hardianto, Gatut

doi:10.33086/mhsj.v4i2.1663

Cited by 2 publications

(2 citation statements)

References 13 publications

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“…A study conducted in India by Kumar et al included 58 patients and reported obstructed labor a cause of VVF in 68.96% cases while hysterectomy was cause of fistula in 29.31% cases and success rate of transvaginal route was 84.12% according to their results. 17,18 These results are different from our study where gynecological etiology was main cause of VVF. In our study success rate was 100% in transvaginal repair of fistula.…”

Section: Discussioncontrasting

confidence: 95%

Surgical repair of Vesico-Vaginal: Vaginal route versus abdominal route.

Khuro

Brohi

Bhatti

2021

TPMJ

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Objective: To determine outcomes and complications of vesico-vaginal fistula repair via vaginal and abdominal route. Study Design: Cross Sectional study. Setting: Department of Urology and Kidney Transplantation, Pir Abdul Qadir Institute of Medical Sciences Gambat. Period: January 2020 to December 2020. Material & Methods: Patients having vesicovaginal fistula irrespective of age and fulfilling our inclusion criteria were included in the study using non-probability consecutive sampling technique. Patients having very large fistula, fistula involving neck of urinary bladder, failure of previous operation, patients with malignancy or co-morbidities were excluded from the study. Vaginal and abdominal approaches were used for fistula repair depending upon the level of fistula. Those operated via vaginal route were kept in trans-vaginal group and those operated via abdominal route were assigned trans-abdominal group. Results: Total 35 cases were studied having age 16-45 years with mean age of 32.6 ± 4.2 years. Transvaginal fistula repair was done in 37.1% and transabdominal repair was done in 62.8% cases. Most common cause of VVF was previous gynecological surgery in 77% cases. Success rate was 100% in transvaginal fistula repair as compared to 95.4% success rate achieved in transabdominal repair of fistula. Conclusion: Trans abdominal and transvaginal route both are good approaches but Transvaginal route of fistula repair is associated with high success rate than transabdominal route with minimum complications and better outcomes but it needs expert surgeon.

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Section: Discussioncontrasting

confidence: 95%

Surgical repair of Vesico-Vaginal: Vaginal route versus abdominal route.

Khuro

Brohi

Bhatti

2021

TPMJ

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“…A meta-analysis conducted by Pattinama and Hardianto, involving 25 studies, yielded results consistent with a higher success rate in the abdominal approach than the vaginal approach for vault VVF (Pattinama & Hardianto, 2020). In a separate study by Kumar et al, a transvaginal route was preferred for the repair of simple fistulae.…”

Section: The Route Of Repairs: Vaginal or Abdominal?mentioning

confidence: 88%

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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Comparison the Success Rate of Vesicovaginal Fistula Repair Surgical With Transvaginal and Transabdominal Procedure : Meta Analysis

Cited by 2 publications

References 13 publications

Surgical repair of Vesico-Vaginal: Vaginal route versus abdominal route.

Surgical repair of Vesico-Vaginal: Vaginal route versus abdominal route.

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

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