Surgical management of urogenital fistulae: Prospective study

Abstract

The prpose of this study is to report the patient demographics surgical technique and outcome of urogenital fistulae repaired at our center. From January 2010 to April 2013, we received nine consecutive patients complaining of urine incontinence after surgery for obstructed labor. All were evaluated by history, physical examination, intravenous urography, cystoscopy and speculum examination. All patients underwent surgical repair of the fistula(e) and followed up 3, 6 and 12 months postoperative. Nine females aged 22-35 (mean 28) years with urogenital fistulae underwent open repair. The fistulae were vesicovaginal in seven and ureterovaginal in two. The surgical approach was transperitoneal in four, extraperitoneal in three and transvaginal in two patients.The average hospital stay was nine days rang (5-14) all patient were cured from incontinence except one patient with missed second fistula not discovered until post operative period . At follow up all cured patients remained dry with good bladder capacity. In conclusion with comprehensive knowledge and adherence to basic surgical technique, high cure rate of urogenital fistulae could be achieved in relatively low volume centers .