title: Repair of vesicovaginal fistula by the transabdominal route: outcome at a north Indian tertiary hospital.
abstract: OBJECTIVE
  The purpose of this study is to present the outcome of management of vesicovaginal fistula (VVF) by the transabdominal route.
  
  
  METHODS
  Between January 2001 and December 2010, 48 patients suffering from VVF were managed through the transabdominal route.
  
  
  RESULTS
  The success rate following first repair was 87.5%. Patients who failed the first repair (n = 6) were managed again by the transabdominal route (second attempt). Two of these patients were cured, while another patient was cured after prolonged catheter drainage. One patient was managed by ureterosigmoidostomy (Mainz II) pouch but died after 6 months. The remaining two patients refused further treatment and were lost to follow-up.
  
  
  CONCLUSIONS
  Transabdominal repair of VVF in properly selected patients results in satisfactory treatment outcome.
authors: Department of Urology, Chhatrapati Shahuji Maharaj Medical University, Lucknow 226003, India. vishwajeeturo@sify.com
authors: Vishwajeet
authors: V
authors: Singh
authors: Rahul Janak
authors: RJ
authors: Sinha
authors: Seema
authors: S
authors: Mehrotra
authors: S N
authors: SN
authors: Sankhwar
authors: Sanjay
authors: S
authors: Bhatt
mesh_terms: D000005:Abdomen / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006761:Hospitals / Q000706:statistics & numerical data; D006801:Humans; D007194:India; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome; D014719:Vesicovaginal Fistula / Q000601:surgery*; D055815:Young Adult