Trans-vaginal repair of gynecological supratrigonal vesicovaginal fistulae: A worthy option!
Objective: To determine the appropriateness of vaginal approach for gynecological supratrigonal vesicovaginal fistulae. Patients and Methods: Retrospective review of consecutive women with gynecological supratrigonal Vesico Vaginal Fistulae (VVF) repaired at the fistula unit of Urogynecology depart...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2012-01-01
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| Series: | Urology Annals |
| Subjects: | |
| Online Access: | http://www.urologyannals.com/article.asp?issn=0974-7796;year=2012;volume=4;issue=3;spage=154;epage=157;aulast=Rajamaheswari |
| _version_ | 1819208952453267456 |
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| author | N Rajamaheswari Archana Bharti Chhikara K Seethalakshmi Anupama Bail Sugandha Agarwal |
| author_facet | N Rajamaheswari Archana Bharti Chhikara K Seethalakshmi Anupama Bail Sugandha Agarwal |
| author_sort | N Rajamaheswari |
| collection | DOAJ |
| description | Objective: To determine the appropriateness of vaginal approach for gynecological supratrigonal vesicovaginal fistulae.
Patients and Methods: Retrospective review of consecutive women with gynecological supratrigonal Vesico Vaginal Fistulae (VVF) repaired at the fistula unit of Urogynecology department between 1996 and 2011 was done.Out of 48 cases of supratrigonal VVF of gynecological origin identified; 34 (70.8%) cases were repaired vaginally and 14 (36.8%) abdominally with a mean follow-up period of 52.8 (2-132) months.
Results: Overall 95.8% were successfully cured at first attempt. The success rate of vaginal repair (94.8%) at first attempt was comparable to that of abdominal repair (100%) (P value = 0.8946). Amongst two failed vaginal repairs, one was successfully cured by subsequent vaginal repair and other by abdominal repair.
Conclusion: Three fourth gynecological supratrigonal VVF can be repaired vaginally in first attempt with success rate comparable to abdominal approach. On the basis of this study we postulate that vaginal approach should be preferred over abdominal approach for repair of all vaginally accessible supratrigonal VVF of gynecological origin. |
| first_indexed | 2024-12-23T05:47:34Z |
| format | Article |
| id | doaj.art-b9fca2b065ed474dbf41aa2298d9a479 |
| institution | Directory Open Access Journal |
| issn | 0974-7796 0974-7834 |
| language | English |
| last_indexed | 2024-12-23T05:47:34Z |
| publishDate | 2012-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Urology Annals |
| spelling | doaj.art-b9fca2b065ed474dbf41aa2298d9a4792022-12-21T17:58:04ZengWolters Kluwer Medknow PublicationsUrology Annals0974-77960974-78342012-01-014315415710.4103/0974-7796.102660Trans-vaginal repair of gynecological supratrigonal vesicovaginal fistulae: A worthy option!N RajamaheswariArchana Bharti ChhikaraK SeethalakshmiAnupama BailSugandha AgarwalObjective: To determine the appropriateness of vaginal approach for gynecological supratrigonal vesicovaginal fistulae. Patients and Methods: Retrospective review of consecutive women with gynecological supratrigonal Vesico Vaginal Fistulae (VVF) repaired at the fistula unit of Urogynecology department between 1996 and 2011 was done.Out of 48 cases of supratrigonal VVF of gynecological origin identified; 34 (70.8%) cases were repaired vaginally and 14 (36.8%) abdominally with a mean follow-up period of 52.8 (2-132) months. Results: Overall 95.8% were successfully cured at first attempt. The success rate of vaginal repair (94.8%) at first attempt was comparable to that of abdominal repair (100%) (P value = 0.8946). Amongst two failed vaginal repairs, one was successfully cured by subsequent vaginal repair and other by abdominal repair. Conclusion: Three fourth gynecological supratrigonal VVF can be repaired vaginally in first attempt with success rate comparable to abdominal approach. On the basis of this study we postulate that vaginal approach should be preferred over abdominal approach for repair of all vaginally accessible supratrigonal VVF of gynecological origin.http://www.urologyannals.com/article.asp?issn=0974-7796;year=2012;volume=4;issue=3;spage=154;epage=157;aulast=RajamaheswariAbdominal repairgynecological supratrigonal vesicovaginal fistulaevaginal repair |
| spellingShingle | N Rajamaheswari Archana Bharti Chhikara K Seethalakshmi Anupama Bail Sugandha Agarwal Trans-vaginal repair of gynecological supratrigonal vesicovaginal fistulae: A worthy option! Urology Annals Abdominal repair gynecological supratrigonal vesicovaginal fistulae vaginal repair |
| title | Trans-vaginal repair of gynecological supratrigonal vesicovaginal fistulae: A worthy option! |
| title_full | Trans-vaginal repair of gynecological supratrigonal vesicovaginal fistulae: A worthy option! |
| title_fullStr | Trans-vaginal repair of gynecological supratrigonal vesicovaginal fistulae: A worthy option! |
| title_full_unstemmed | Trans-vaginal repair of gynecological supratrigonal vesicovaginal fistulae: A worthy option! |
| title_short | Trans-vaginal repair of gynecological supratrigonal vesicovaginal fistulae: A worthy option! |
| title_sort | trans vaginal repair of gynecological supratrigonal vesicovaginal fistulae a worthy option |
| topic | Abdominal repair gynecological supratrigonal vesicovaginal fistulae vaginal repair |
| url | http://www.urologyannals.com/article.asp?issn=0974-7796;year=2012;volume=4;issue=3;spage=154;epage=157;aulast=Rajamaheswari |
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