Sobia Mazhar, Ghulam Sarwar Riaz, Sadaf Saleem Akhter.
Out Come of Vesicovaginal Fistula Repair.
Pak J Med Health Sci Jan ;7(3):843-5.

Aim: To evaluate the outcome of vesicovaginal fistula (VVF) repair. Design: A descriptive study. Place and duration of study: The Department of Obstetrics and Gynaecology,Ibn-e-Siena Hospital, Multan Medical and Dental College, Multan, from June 2011 to May 2013. Methods: The patients presenting with vesicovaginal fistula after clinical examination and investigations were selected. Investigations include intravenous urogram (IVU), abdomen pelvic ultrasound, three swab test, cystoscopy and examination under anaesthesia. Those having uretheral, ureteric and colonic involvement, malignant pelvic tumors and radiation induced VVF were excluded. Total of 24 patients were selected. Surgical repair was perfomed through vaginal route in 21 patients and through abdominal route in 3 patients. Results: Out of 24 patients surgical repair proved successful in 20 (83.3%) patients and repair of VVF failed in 4(16.6%) patients. Conclusion: Birth trauma is the most common cause of VVF in our study. Surgery remains an effective treatment for VVF.

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