Analysis of Vesicovaginal Fistulas in Tertiary Care Hospital: A Retrospective Study of 12 Years

Introduction: The first evidence of a Vvf was discovered in 1923, when Derry investigated the mummified remains of henhenit, a lady in the 11th dynasty’s court who reigned circa 2050 Bc [1]. Urinary fistulas in the female genital tract are caused by difficulties after childbirth and the treatment of pelvic illnesses. Obstetrical reasons are the major causes of Vvf in poor nations like ours. The urine and vaginal tracts are anatomically close together, making the urinary tract vulnerable to harm after difficult and traumatic births, as well as painful gynaecological operations.

The goal of this study was to figure out what causes vesicovaginal fistula (Vvf) and how to treat it.

Methods: From January 1, 1994, to December 31, 2006, a retrospective investigation was done. Bellary’s Vijayanagara Institute of Medical Sciences There were a total of 40 patients in the research. They were examined in terms of age, parity, causal factor, treatment style, and result.

The most common cause of Vvf was obstetric difficulties. The majority of the cases were surgically treated with a multilayer vaginal closure approach. The success rate on the first attempt was 93.33 percent.

Conclusions: Vesicovaginal fistula is caused mostly by a lack of intrapartum care and incorrect delivery. In 93.33 percent of cases, the primary closure is effective.

Author (S) Details

Umashankar Km
Department of Obstetrics and Gynaecology, Bangalore Medical College and Research Institute, Bangalore, India.

Shivakumar Hc
Department of Obstetrics and Gynecology, VIMS Bellary, India.

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