Transvesical vesicovaginal fistula repair: a revival.
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.
Motiwala
H G
HG
Department of Urology, B.J. Medical College, Civil Hospital, Ahmedabad, India.
Amlani
J C
JC
Desai
K D
KD
Shah
K N
KN
Patel
P C
PC
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*