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Chapter-07 Vesicovaginal Fistula

BOOK TITLE: Manual of Vaginal Hysterectomy

Author
1. Patel Meenakshi
ISBN
9789352703685
DOI
10.5005/jp/books/18027_8
Edition
1/e
Publishing Year
2018
Pages
5
Author Affiliations
Chapter keywords
Vesicovaginal fistula, VVF, ureteric injury, vaginal stenosis, reduced bladder capacity, lower urinary tract, recurrent fistula

Abstract

Vesicovaginal fistula (VVF) is the most common acquired fistula of urinary tract. Early attempts at repair met with little success. In 1852, Sims published his method for surgical treatment of VVF using transvaginal approach followed by Trendelenburg in 1888 that performed transabdominal VVF repair. It represents significant morbidity in female urology. Successful repair of fistulas requires accurate diagnosis, timely repair using procedures with basic surgical principles and application of interposition flaps method of closure. Evaluate the fistula by identifying size, site, type, number, scarring, recurrence, involvement of ureteric orifice, and involvement of sphincteric mechanism. Recurrence fistula formation, ureteric injury or obstruction, vaginal stenosis, reduced bladder capacity, lower urinary tract symptoms, recurrent fistula can be managed conservatively with prolonged catheterization.

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