Comparative Analysis of Outcome Between Extravesical and Transvesical Repair for Vesicovaginal Fistula

Objective: To compare the surgical outcome of extravesical and transvesical repair of Vesicovaginal fistula. Study Design: Prospective comparative study. Place and Duration of Study: Armed Forces Institute of Urology, Rawalpindi Pakistan, from Jul 2019 and Jul 2020. Methodology: Forty-two...

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Main Authors: Adnan Ali, Khubaib Shehzad, Zahoor Iqbal Mirza, Hussain Ahmed, Shazia Tabassum, Nisarefatima Changezi
Format: Article
Language:English
Published: Army Medical College Rawalpindi 2022-12-01
Series:Pakistan Armed Forces Medical Journal
Subjects:
Online Access:https://pafmj.org/index.php/PAFMJ/article/view/5805
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author Adnan Ali
Khubaib Shehzad
Zahoor Iqbal Mirza
Hussain Ahmed
Shazia Tabassum
Nisarefatima Changezi
author_facet Adnan Ali
Khubaib Shehzad
Zahoor Iqbal Mirza
Hussain Ahmed
Shazia Tabassum
Nisarefatima Changezi
author_sort Adnan Ali
collection DOAJ
description Objective: To compare the surgical outcome of extravesical and transvesical repair of Vesicovaginal fistula. Study Design: Prospective comparative study. Place and Duration of Study: Armed Forces Institute of Urology, Rawalpindi Pakistan, from Jul 2019 and Jul 2020. Methodology: Forty-two patients with vesicovaginal fistula were included in the study. The causes of the development of vesicovaginal fistula were evaluated. Half of the patients underwent extravesical and remaining transvesical repair. The results were compared regarding operative time, mean blood loss, complications and recurrence. Results: The vesicovaginal fistula was secondary to prolonged obstructed labour 27(66%), with an iatrogenic cause 15(34%).Mean operative time for extravesical repair was 83.00±20.00 minutes and for transvesical repair was 60.00±20.00 minutes.71% patients undergoing extravesical repair experienced bladder spasms compared to 47% in the transvesical Group. Three cases suffered prolonged illeus in case of extravesical repair. The mean hospital stay for extravesical repair was 6.00±1.08 days,relatively more than transvesical, which was statistically significant (p-value <0.001) Conclusion: Transabdominal approach for managing vesicovaginal fistula is the most preferred successful technique.
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spelling doaj.art-7a111aad7ea84d63adfc21d4208e11522023-01-31T08:19:56ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422022-12-0172610.51253/pafmj.v72i6.5805Comparative Analysis of Outcome Between Extravesical and Transvesical Repair for Vesicovaginal FistulaAdnan Ali0Khubaib Shehzad1Zahoor Iqbal Mirza2Hussain Ahmed3Shazia Tabassum4Nisarefatima Changezi5Armed Forces Institute of Urology/National University of Medical Sciences (NUMS) Rawalpindi PakistanArmed Forces Institute of Urology/National University of Medical Sciences (NUMS) Rawalpindi PakistanArmed Forces Institute of Urology/National University of Medical Sciences (NUMS) Rawalpindi PakistanArmed Forces Institute of Urology/National University of Medical Sciences (NUMS) Rawalpindi PakistanRaazi Hospital, Rawalpindi PakistanPak Emirates Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan Objective: To compare the surgical outcome of extravesical and transvesical repair of Vesicovaginal fistula. Study Design: Prospective comparative study. Place and Duration of Study: Armed Forces Institute of Urology, Rawalpindi Pakistan, from Jul 2019 and Jul 2020. Methodology: Forty-two patients with vesicovaginal fistula were included in the study. The causes of the development of vesicovaginal fistula were evaluated. Half of the patients underwent extravesical and remaining transvesical repair. The results were compared regarding operative time, mean blood loss, complications and recurrence. Results: The vesicovaginal fistula was secondary to prolonged obstructed labour 27(66%), with an iatrogenic cause 15(34%).Mean operative time for extravesical repair was 83.00±20.00 minutes and for transvesical repair was 60.00±20.00 minutes.71% patients undergoing extravesical repair experienced bladder spasms compared to 47% in the transvesical Group. Three cases suffered prolonged illeus in case of extravesical repair. The mean hospital stay for extravesical repair was 6.00±1.08 days,relatively more than transvesical, which was statistically significant (p-value <0.001) Conclusion: Transabdominal approach for managing vesicovaginal fistula is the most preferred successful technique. https://pafmj.org/index.php/PAFMJ/article/view/5805ExtravesicalTransvesical transperitoneal vesicovaginal fistula (VVF) repairVesicovaginal fistula
spellingShingle Adnan Ali
Khubaib Shehzad
Zahoor Iqbal Mirza
Hussain Ahmed
Shazia Tabassum
Nisarefatima Changezi
Comparative Analysis of Outcome Between Extravesical and Transvesical Repair for Vesicovaginal Fistula
Pakistan Armed Forces Medical Journal
Extravesical
Transvesical transperitoneal vesicovaginal fistula (VVF) repair
Vesicovaginal fistula
title Comparative Analysis of Outcome Between Extravesical and Transvesical Repair for Vesicovaginal Fistula
title_full Comparative Analysis of Outcome Between Extravesical and Transvesical Repair for Vesicovaginal Fistula
title_fullStr Comparative Analysis of Outcome Between Extravesical and Transvesical Repair for Vesicovaginal Fistula
title_full_unstemmed Comparative Analysis of Outcome Between Extravesical and Transvesical Repair for Vesicovaginal Fistula
title_short Comparative Analysis of Outcome Between Extravesical and Transvesical Repair for Vesicovaginal Fistula
title_sort comparative analysis of outcome between extravesical and transvesical repair for vesicovaginal fistula
topic Extravesical
Transvesical transperitoneal vesicovaginal fistula (VVF) repair
Vesicovaginal fistula
url https://pafmj.org/index.php/PAFMJ/article/view/5805
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