Rafia Baloch, Hafeezullah, Malik Jalbani, Rajib Denari.
Vesicovaginal Fistulae: A Surgical outcome.
J Surg Pak Jan ;8(1):10-3.

The aim of this study was to know sociodemographic data and causes of failure of surgical procedure for vesico vagina fistulae so that a better methodology be applied to improve the results. This study was conducted at Shaikh Zayed Women Hospital, (Gynaecology and Obstetrics Department) Chandka Medical College, Larkana from May 1997 to May 2002 Seventy patients of vesicovaginal fistula. (VVF) were managed in 5 years. Patients with stress incontinence, urgency and overflow incontinence were excluded. The age, parity, duration of fistula, causes of fistula, size, site of fistula, route of operation, type of operation, duration of operation, blood loss and results of surgery were recorded. The total admissions with gynaecological ailment were 4768 in five years. The relative frequency of VVF cases was 1.4%. The mean age was 34.6 years (Range 17 60 years). The mean parity was 5 (Range 1 21). Fifty four cases reported within 1 2 years time (Range 3 months to 20 years). In Fifty one cases (72.8 %) delivery took place at home. Most common site was midvagina 58.57 90 (41 cases). Fifty four cases (91.42 %) were obstetric fistulae caused by prolonged and obstructed labour. Sixty four cases (91.4 %) were operated vaginally. Success rate was 85.5 % (60 cases).Vesicovaginal fistula is a common health problem of developing countries caused by obstructed labour. Vaginal approach, utilizing basic surgical principles is simple and easy technique with better results.

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