Abhijit Dhale
Associate Professor Dept. of Urology Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences Sawangi (Meghe), Wardha
Jay Dharmashi
Assistant Professor Dept. of Urology Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences Sawangi (Meghe), Wardha
Abstract
Background: A vesicovaginal fistula can be physically, socially, and mentally debilitating. Despite breakthroughs in our understanding of aetiology, pathophysiology, diagnosis, and management, treating surgeons still face obstacles due to disagreements about the best timing to repair and the best surgical method.
Aims & objectives: The purpose of this study was to look at cases of Vesicovaginal fistulas that were submitted for surgery in our department over a one-and-a-half year period, in terms of aetiology, kinds, care, and outcome.
Materials and Methods: This was a two-year clinical observational study in which cases were admitted to the Urology department of a tertiary healthcare centre for vesicovaginal fistula repair. For 44 individuals with VVF, the aetiology, location, size, and number of fistulae, clinical presentation, diagnostic procedures, and management were all documented.
Results: In comparison to other treatments, O'Connor's found that vaginal and laparoscopic procedures had a 100 percent success rate in managing vesicovaginal fistulas, while electrical fulgeration had a 50 percent success rate. After surgery, the overall success rate is 80%.
Conclusion: Socially, vesicovaginal fistulas are crippling. Following basic surgical principles of fistula repair, high rates of effective fistula closure can be obtained regardless of aetiology.
Keywords: vesicovaginal fistulas, fistula repair, surgery