Genitourinary fistulas of obstetric origin.
OBJECTIVE
To review the results of management of 42 cases of genitourinary fistulas of obstetric origin.


METHODS
Department of urology, Nishtar Hospital, Multan, Pakistan.


METHODS
Forty two cases of genitourinary fistulas (36 vesicovaginal, 2 vesicouterine, one ureterovaginal and 3 urethrovaginal) were repaired from 1st December, 1999 to 31st May, 2002). All fistulas were repaired three months or more after formation. Trans-abdominal and vaginal repair of vesicovaginal fistulas was undertaken in 29 and 7 patients respectively. Two patients had trans-abdominal closure of vesicouterine fistulas. Ureteroneocystostomy with antireflux mechanism was performed for uretereovaginal fistula. For three urethrovaginal fistulas transvaginal layered repair was carried out.


RESULTS
Overall success rate for all types of fistula was 85.7% (36 pts).


CONCLUSIONS
The surgical treatment of genitourinary fistulas will depend upon the type, size and location of fistula. Acceptable results can be achieved by adhering to the surgical principles of fistula repair i.e. optimal tissue conditions, adequate exposure and tension free closure.
Rafique
M
M
Nishtar Medical College, Multan, Pakistan. rafiquanju@hotmail.com
D000328:Adult; D036861:Delivery, Obstetric / Q000009:adverse effects; D003906:Developing Countries; D005260:Female; D006801:Humans; D007744:Obstetric Labor Complications / Q000453:epidemiology; D010154:Pakistan / Q000453:epidemiology; D011183:Postoperative Complications / Q000453:epidemiology; D011247:Pregnancy; D014548:Urinary Fistula / Q000453:epidemiology / Q000209:etiology / Q000601:surgery*; D014719:Vesicovaginal Fistula / Q000453:epidemiology / Q000209:etiology / Q000601:surgery*