Vesico vaginal fistula

Silva, Was de

doi:10.4038/slju.v11i1.4052

Cited by 4 publications

(5 citation statements)

References 21 publications

(16 reference statements)

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“…14,16 These fistulae resulting from prolonged obstructed labour as a consequence of the severe tissue assault are usually of larger diameter, have more necrotic edges and thus qualifying them as complex genital fistulae . 17,18 The study demonstrated a significant number of the subjects developed genital fistulae as complication of obstetric and gynaecologic surgical interventions such as caesarean section and abdominal hysterectomies has been similarly reported by Popoola et al and Raashidi et al 19,6 The genital fistulae present in these patients following caesarean hysterectomy could have been initiated by the prolonged obstructed labour event, but may have been worsened by the surgical procedure. The patients who developed genital fistulas after caesarean section or caesarean hysterectomy usually present as emergencies, at odd hours of the day both at the peripheral hospitals as well as at the tertiary hospitals and are usually handled by junior, less experienced surgeons and these further increase the risk of complications including the development of genital fistulae.…”

Section: Discussionsupporting

confidence: 59%

Management of complex genital fistula: experience in a tertiary sub-Saharan hospital

et al. 2020

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Background: Management of complex genital fistulae is challenging due to the cost and technical skill required. This study reports our experience in the management of patients with complex genital fistulae and to highlight the crucial role of the reconstructive urologists.Methods: This was a retrospective review of female patients managed at a tertiary hospital in Nigeria from 2006 to 2017 for complex urinary fistulae. Data were extracted from patient case notes and the data analysed using the SPSS software.Results: Twenty-four female patients mean age 28.9±11.1 years. Fistulae resulted from prolonged obstructed labour 10 (41.6%), caesarean hysterectomy 7 (29.2%), caesarean section and abdominal hysterectomy 2 (8.4%) respectively. The fistulae were vesicovaginal 16 (66.7%), ureterovaginal 3 (12.5%). Others were vesicocutaneous, urethrovaginal and rectovaginal. Prior attempts at repair were done in 7 (29.2%) and the number of attempts ranged from 1 to 4. Surgical procedures included direct closure in 9 (37.5%), closure and uretero-neocystostomy 7 (29.2%), uretero-neocystostomy only 3 (12.5%) closure and abdominal hysterectomy 2 (8.3%), closure and continent catheterizable neo-bladder 2 (8.3%) and 1 (4.2%) closure, abdominal hysterectomy and uretero-neocystostomy. Post-operative complications were noted in 2 (8.3%) and consisted of gynaeatresia and recurrent RVF. Repair was successful in 70.8% of patients while failed repair was recorded in 16.7% and while stress incontinence was present in 12.5%.Conclusions: Complex genital fistulae in our practice are of obstetric origin involving the bladder, ureters and rectum. The reconstructive urologist has a crucial role the management for a favourable outcome.

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Section: Discussionsupporting

confidence: 59%

Management of complex genital fistula: experience in a tertiary sub-Saharan hospital

et al. 2020

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“…Elle peut être associée à un abord sus-pubien transvésical [15,16], voie que nous avons utilisée dans deux cas. Autre artifice, le lambeau de Martius ou lambeau graisseux de la grande lèvre vulvaire est facilement mobilisable [17].…”

Section: Resultatsunclassified

“…La voie vaginale en chirurgie urologique bien que séduisante, pré-sente des risques de complications essentiellement dominées par : Toutefois, le cas a été résolu par le drainage vésical seul qui est un des traitements conservateurs des FVV identifiées en postopé-ratoire immédiat [15].…”

Section: Resultatsunclassified

Indications de l’abord vaginal en chirurgie urologique: à propos de 30 cas

Diabaté¹,

Sow²,

Bâ³

et al. 2015

African Journal of Urology

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“…The co-existence of vesico-vaginal fistula and bladder calculi is relatively uncommon, [8,11] with resultant paucity of literature on the management of this combination.…”

Section: Discussionmentioning

confidence: 99%

“…Clinical diagnosis of the calculi is usually sufficient [10]. The removal of the calculi is accorded priority and fistula repair delayed as the presence of a calculus will almost invariably result in failure of repair [11].…”

Section: Introductionmentioning

confidence: 99%

A Review of the Management of Vesico-vaginal Fistula with Co-existing Bladder Calculi in South-East Nigeria

Adeoye¹,

Daniyan²

2016

Gynecol Obstet

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Objective: Vesico-vaginal fistula (VVF) may co-exist with bladder calculi. Traditionally, management entails removal of the calculus and deferment of fistula repair. The study aims to present our findings in the management of women with this combination.Methodology: This is a retrospective review of twenty-three women with vesico-vaginal fistula and bladder calculi managed from December 2008 to June 2014 at the National Obstetric Fistula Centre, Abakaliki, Nigeria. The case history, physical findings, investigation results, operation notes and follow-up notes of twenty women were available and form the basis of this review. Results:The prevalence of bladder calculi among vesico-vaginal fistula patients was 1.45%. Most of the bladder calculi were removed via the transvaginal route. In majority of cases (55%), removal of the calculi and repair of the fistula were performed at the same sitting. Ninety-five percent of the patients had successful repair. Conclusion:These findings suggest that the co-existence of bladder calculi and vesico-vaginal fistula is uncommon. Clinical diagnosis is usually sufficient. Fistula repair could safely be undertaken at the same sitting with removal of the calculus in well-selected cases suggesting a paradigm shift in the management of this combination.

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Vesico vaginal fistula

Abstract: DOI: http://dx.doi.org/10.4038/slju.v11i1.4052SLJU 2010; 11(1): 1-6

Cited by 4 publications

References 21 publications

Management of complex genital fistula: experience in a tertiary sub-Saharan hospital

Management of complex genital fistula: experience in a tertiary sub-Saharan hospital

Indications de l’abord vaginal en chirurgie urologique: à propos de 30 cas

A Review of the Management of Vesico-vaginal Fistula with Co-existing Bladder Calculi in South-East Nigeria

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