title: Transvesical vesicovaginal fistula repair: a revival.
abstract: Vesicovaginal fistulae are usually traumatic in nature, following obstetric or gynecologic trauma. Here, our experience with vesicovaginal fistula repair in 68 cases, performed transvesically (58 cases) or transperitoneally-transvesically, with pedicled omental interposition in 10 cases over the last 8 years is described. The size of fistulae ranged from 1 to 5 cm, and most were situated near or above the trigone. Two cases required ureteric reimplantation. Recurrent fistulae were found in 4 cases. We attribute our success to the simple access, the construction of a vascularized flap, the tension-free grid-iron closure, and the utilization of Vicryl suture.
authors.affiliation: Department of Urology, B.J. Medical College, Civil Hospital, Ahmedabad, India.
authors.forename: H G
authors.initials: HG
authors.lastname: Motiwala
authors.forename: J C
authors.initials: JC
authors.lastname: Amlani
authors.forename: K D
authors.initials: KD
authors.lastname: Desai
authors.forename: K N
authors.initials: KN
authors.lastname: Shah
authors.forename: P C
authors.initials: PC
authors.lastname: Patel
mesh_terms: D002585:Cesarean Section / Q000009:adverse effects; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects; D011247:Pregnancy; D012008:Recurrence; D013524:Surgical Flaps / Q000379:methods*; D013536:Suture Techniques; D014719:Vesicovaginal Fistula / Q000209:etiology / Q000601:surgery*