Vesico-vaginal fistula: A clinical study
| Autor: | S.V. Krishna Reddy, Ahammad Basha Shaik |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: | |
| Zdroj: | Urogynaecologia International Journal, Vol 31, Iss 1 (2019) |
| Druh dokumentu: | article |
| ISSN: | 1121-3086 2038-8314 |
| DOI: | 10.4081/uij.2019.203 |
| Popis: | 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. |
| Databáze: | Directory of Open Access Journals |
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