Transvaginal repair of complex and complicated vesicovaginal fistulae

Abstract

The transvaginal approach to the repair of complex and complicated VVF gives good long-term results with low complication rates.

Outcome of using a modified surgical technique for the repair of complex vesicovaginal fistulas in Nigeria

“…13,14 The short duration of the fistula among patients in this study also explains why the rate of divorce and other disruption of the wellbeing of affected women were not prominent among patients in this study. 1,11,14 This study has demonstrated that the use of the described modified surgical repair technique for the closure of selected complex VVF among patients in this study had a significantly higher (p= 0.0004) success rate than the use of the conventional technique of repair. This study was born out of a desire to discover a surgical technique that could give a one-chance opportunity of cure in selected complex cases of vesicovaginal fistula.…”

Optic-Guided Vaginal Repair of Vesicovaginal Fistula

“…There have been several published studies favoring the transvaginal approach for both obstetric and gynecologic fistulae. [12][13][14][15] Although there are a limited number of patients in our study, mean operative time is 70 minutes, mean hospital stay is less than 24 hours, and the operations were completed with minimal bleeding. In addition, none of our patients needed additional analgesics other than nonsteroidal anti-inflammatory agents.…”

“…1,11,12 The relative advantages of a transvaginal approach are shorter operative time and hospital stay, minimal blood loss and postoperative pain, absence of the need for opening the bladder, possibility of performing anti-incontinence procedures, and availability of local interpositional flaps, when compared with an abdominal approach. 1,12 In addition, the transvaginal approach offers direct access to the fistula without entering the abdomen and is less invasive. There have been several published studies favoring the transvaginal approach for both obstetric and gynecologic fistulae.…”

Use of Pedicled Omental Graft as an Aid to Vesicovaginal Fistula Repair

“…Secondly the surgical causes were mainly due to hysterectomies. 11 Thirdly, a general miscellaneous group which include causes like radiation for malignancy, foreign bodies and inflammatory diseases. 12 In all of our patients repaired by transabdominal approach we interposed omentum between the vagina and urinary bladder.…”