Vesico-vaginal fistula: A clinical study
In a retrospective study, the records of 34 women with a mean ± SD age of the patients was 36.62 ± 9.02 years were assessed; 32.35% of the vesico-vaginal Fistula (VVF) occurred after abdominal hysterectomy, 11.77% after Caesarean section, 32.35% after difficult vaginal delivery and 23.53% after ins...
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2019-06-01
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| Series: | Urogynaecologia International Journal |
| Subjects: | |
| Online Access: | http://www.urogynaecologia.org/index.php/uij/article/view/203 |
| _version_ | 1828188191131172864 |
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| author | S.V. Krishna Reddy Ahammad Basha Shaik |
| author_facet | S.V. Krishna Reddy Ahammad Basha Shaik |
| author_sort | S.V. Krishna Reddy |
| collection | DOAJ |
| description |
In a retrospective study, the records of 34 women with a mean ± SD age of the patients was 36.62 ± 9.02 years were assessed; 32.35% of the vesico-vaginal Fistula (VVF) occurred after abdominal hysterectomy, 11.77% after Caesarean section, 32.35% after difficult vaginal delivery and 23.53% after instrumental delivery. Six women (17.64%) had a previous failed repair. The duration (mean ± SD) of the VVF was 5.68 ± 1.59 months. Of the 34 VVF patients, 20 (58.82%) were Mid-Vaginal VVF, 8 (23.53%) were Circumferential VVF, 3 (8.82%) were Juxta cervical VVF and 3 (8.82%) were Juxta Urethral VVF. An abdominal approach was used in 21 cases (61.76%), vaginal repair was contemplated in 8 (23.53%) cases and Laparoscopic in 5 (14.71%). At a mean duration of follow-up was 33.06 ± 1.72 months and the VVF was cured in 28 (82.4%) patients. Only previous intervention and timing of surgery (P=0.004) and surgical approach (P=0.02) maintained significance in our study. An abdominal/ Laparoscopic approach seems to give superior results. Previous failed repair had a significant negative effect on success. A late repair (≥6 months) is associated with higher success rates.
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| first_indexed | 2024-04-12T07:46:57Z |
| format | Article |
| id | doaj.art-aff7faeee5d34941af752177c40b5cf5 |
| institution | Directory Open Access Journal |
| issn | 1121-3086 2038-8314 |
| language | English |
| last_indexed | 2024-04-12T07:46:57Z |
| publishDate | 2019-06-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Urogynaecologia International Journal |
| spelling | doaj.art-aff7faeee5d34941af752177c40b5cf52022-12-22T03:41:41ZengPAGEPress PublicationsUrogynaecologia International Journal1121-30862038-83142019-06-0131110.4081/uij.2019.203Vesico-vaginal fistula: A clinical studyS.V. Krishna Reddy0Ahammad Basha Shaik1Department of Urology, Narayana Medical College and Hospital, Nellore, Andhra PradeshDepartment of Community Medicine, Narayana Medical College and Hospital, Nellore, Andhra Pradesh In a retrospective study, the records of 34 women with a mean ± SD age of the patients was 36.62 ± 9.02 years were assessed; 32.35% of the vesico-vaginal Fistula (VVF) occurred after abdominal hysterectomy, 11.77% after Caesarean section, 32.35% after difficult vaginal delivery and 23.53% after instrumental delivery. Six women (17.64%) had a previous failed repair. The duration (mean ± SD) of the VVF was 5.68 ± 1.59 months. Of the 34 VVF patients, 20 (58.82%) were Mid-Vaginal VVF, 8 (23.53%) were Circumferential VVF, 3 (8.82%) were Juxta cervical VVF and 3 (8.82%) were Juxta Urethral VVF. An abdominal approach was used in 21 cases (61.76%), vaginal repair was contemplated in 8 (23.53%) cases and Laparoscopic in 5 (14.71%). At a mean duration of follow-up was 33.06 ± 1.72 months and the VVF was cured in 28 (82.4%) patients. Only previous intervention and timing of surgery (P=0.004) and surgical approach (P=0.02) maintained significance in our study. An abdominal/ Laparoscopic approach seems to give superior results. Previous failed repair had a significant negative effect on success. A late repair (≥6 months) is associated with higher success rates. http://www.urogynaecologia.org/index.php/uij/article/view/203FistulaHysterectomyIatrogenicObstructive labourVesico-vaginal |
| spellingShingle | S.V. Krishna Reddy Ahammad Basha Shaik Vesico-vaginal fistula: A clinical study Urogynaecologia International Journal Fistula Hysterectomy Iatrogenic Obstructive labour Vesico-vaginal |
| title | Vesico-vaginal fistula: A clinical study |
| title_full | Vesico-vaginal fistula: A clinical study |
| title_fullStr | Vesico-vaginal fistula: A clinical study |
| title_full_unstemmed | Vesico-vaginal fistula: A clinical study |
| title_short | Vesico-vaginal fistula: A clinical study |
| title_sort | vesico vaginal fistula a clinical study |
| topic | Fistula Hysterectomy Iatrogenic Obstructive labour Vesico-vaginal |
| url | http://www.urogynaecologia.org/index.php/uij/article/view/203 |
| work_keys_str_mv | AT svkrishnareddy vesicovaginalfistulaaclinicalstudy AT ahammadbashashaik vesicovaginalfistulaaclinicalstudy |