Hameed-Ur-Rahman Bozdar, Sabahat Fatima, I. Ullah Memon, W. Sarwar Bhatti, N.Karim Bhatti, Imran Khan Memon
Pakistan Journal of Medical & Health Sciences




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Experience of Management of Vesicovaginal Fistula in Khairpur Medical College Hospital Khairpur

Hameed-Ur-Rahman Bozdar, Sabahat Fatima, I. Ullah Memon, W. Sarwar Bhatti, N.Karim Bhatti, Imran Khan Memon



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ABSTRACT

Aim: To report the experience of vesicovaginal fistula repair among patients attending Khairpur Medical College.

Study design: Retrospective cross-sectional study

Place and duration of study: Department of Urology, Khairpur Medical College Khairpur Mir’s and Department of Obstetrics & Gynaecology, GMMC, Sukkur from 1st February 2018 to 20th November 2020.

Methodology: Thirty five known case of vesicovaginal fistula presenting with continuous leakage of urine were consecutively included. Patients with failed previous repair were also included. After pre-operative work-up, fistula repair was done either through abdominal or vaginal route in two layers tension free and watertight with absorbable suture. All patients were called for follow-up visits at two weeks initially and then depending on the presence of symptoms later on.

Results: Transabdominal repair was observed in 18 (51.4%) patients whereas transvaginal vesicovaginal repair in 17 (48.6%) patients. The mean operative time was significantly higher among patients with transabdominal repair than transvaginal repair (p<0.001). Similarly, mean estimated blood loss was significantly higher in transabdominal repair than transvaginal repair (p<0.001). Success was found in majority of the patients 30 (85.7%). Success was found significantly higher among patients with transabdominal repair as compared to transvaginal repair, 18(100%) vs 12(70.6%) (p=0.013).

Conclusion: Success rate of vesicovaginal repair was reported in majority of the patients. Though, success rate was remarkably higher in transabdominal repair, less estimated blood loss and operative time was reported in transvaginal repair.

Keywords: Vesicovaginal repair, Success rate, Transabdominal repair, Estimated Blood Loss, operative time,



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