title: Outcome of VVF repair without omental interposition.
abstract: OBJECTIVE
  To find out the outcome in cases of vesicovaginal fistula repair.
  
  
  METHODS
  The descriptive study was conducted at the District Headquarter Hospital, Timergara, Lower Dir, Pakistan, from November 1, 2011 to November 2013, and comprised all patients admitted in Urology unit with vesicovaginal fistula. Repair was done with either transabdominal or transvaginal approach. Repair technique involved good tissue separation, interrupted sutures, and no omental interposition. Follow-up was of three months.
  
  
  RESULTS
  There were 30 patients available, but 2(6.6%) were excluded. Among the remaining 28(93.3%) patients dehiscence was not noted in any patient, while only 4(14.3%) patients developed mild urinary tract infection. There were no intraoperative or postoperative deaths.
  
  
  CONCLUSIONS
  Transvaginal or Transabdominal repair of vesicovaginal fistula is successful treatment modality if good dissection and tissue separation is applied with interrupted suturing. Omental interposition is not essential for good healing.
authors.affiliation: DHQ Hospital Timergara, Distt Lower Dir, Peshawar, KPK, Pakistan.
authors.forename: Fazal
authors.initials: F
authors.lastname: Wahab
authors.affiliation: DHQ Hospital Timergara, Distt Lower Dir, Peshawar, KPK, Pakistan.
authors.forename: Amir
authors.initials: A
authors.lastname: Nasir
authors.affiliation: Lady Reading Hospital, Peshawar, KPK, Pakistan.
authors.forename: Fazal
authors.initials: F
authors.lastname: Manan
mesh_terms: D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D010154:Pakistan; D012189:Retrospective Studies; D013536:Suture Techniques; D016896:Treatment Outcome; D014719:Vesicovaginal Fistula / Q000601:surgery*
keywords: VVF, Repair.