title: Vesical fistulae--an experience from a developing country.
abstract: This study analyses patients with vesical fistulae presenting at a teaching, referral hospital over the last ten years. There were 62 cases of vesical fistulae of which 60 were obstetric in origin (44 home and 16 hospital deliveries) and 2 were following gynaecological surgery. Of the hospital deliveries which culminated in fistula formation, 8 were vaginal and 7 forceps deliveries. In one patient, lower segment caesarean section was carried out. After a thorough urological work-up, patients were subjected to standard technique of layered closure (61 by vaginal approach and one by abdominal). Repair was successful in 53 (87.09%) patients. Of the 9 failures, 4 were repeat repairs.
authors.affiliation: Dept of Obstetrics and Gynaecology, KEM Hospital and Seth GS Medical College, Parel, Bombay, Maharashtra.
authors.forename: V
authors.initials: V
authors.lastname: Raut
authors.forename: M
authors.initials: M
authors.lastname: Bhattacharya
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D012003:Rectal Fistula / Q000209:etiology / Q000601:surgery; D014522:Urethral Diseases / Q000209:etiology / Q000601:surgery; D014548:Urinary Fistula / Q000209:etiology / Q000601:surgery; D014624:Vaginal Fistula / Q000209:etiology / Q000601:surgery; D014719:Vesicovaginal Fistula / Q000209:etiology / Q000601:surgery