Pakistan Journal of Medical Sciences

Published by : PROFESSIONAL MEDICAL PUBLICATIONS

ISSN 1681-715X

HOME   |   SEARCH   |   CURRENT ISSUE   |   PAST ISSUES

-

ORIGINAL ARTICLE

-

Volume 26

July - September 2010

Number  3


 

PDF of this Article

Transabdominal repair of Vesicovaginal Fistula:
An experience of 27 cases

Mohammad Zarin 1, Mansoor Khan 2, Mujeeb–ur-Rehman 3,
Muhammad Rafiq Afridi 4, Mahmud Aurangzeb 5

ABSTRACT

Objective: To review the causes of vesicovaginal fistula and outcome of its repair through transabdominal approach.

Methodology: This is a descriptive cross sectional study which was conducted in Surgical "D" unit, Khyber Teaching Hospital Peshawar from January 2004 to December 2009. The record of all cases of vesicovaginal fistula that had undergone transabdominal repair was reviewed. Complex vesicovaginal fistula cases were excluded.. Operative findings and procedure’s details were obtained from operation notes. Post-operative follow up findings after one week, three weeks, forty days and three months were noted for every case.

Results: A total of 27 cases had undergone transabdominal repair for vesicovaginal fistula with age ranging from 26 to 63 years. Twenty two cases developed vesicovaginal fistula as a result of obstructed labour and five as a result of Gynaecological surgery (post-hysterectomy). Mean post-operative hospital stay was seven days. Failure of repair was seen in one case only. Five cases were lost during follow up. Eight (29.63%) cases developed urinary tract infection, and two (7.40%) cases developed transient urinary stress incontinence.

Conclusion: This study suggests that obstetrical trauma is the commonest cause for developing vesicovaginal fistula and the transabdominal approach gives satisfactory results in its repair.

KEY WORDS: Vesicovaginal fistula; Genitourinary fistula.

Pak J Med Sci    July - September 2010    Vol. 26 No. 3    581-584

How to cite this article:

Zarin M, Khan M, Rehman M, Afridi MR, Aurangzeb M. Transabdominal repair of Vesicovaginal Fistula: An experience of 27 cases. Pak J Med Sci 2010;26(3):581-584


1. Dr. Mohammad Zarin, MBBS, FCPS, MRCS, FMAS,
Assistant Professor.
2. Dr. Mansoor Khan, MBBS,
Resident Surgeon.
3. Dr. Mujeeb–ur-Rehman, MBBS,
Junior Registrar.
4. Dr. Muhammad Rafiq Afridi, MBBS,
Resident, Surgeon.
5. Dr. Mahmud Aurangzeb, MBBS, FRCS,
Professor & Head of Department.
1-5: Surgical “D” unit, Khyber Teaching Hospital Peshawar,
Peshawar, - Pakistan.

Correspondence:

Dr. Mohammad Zarin, MBBS, FCPS, MRCS, FMAS,
Room # 86, Old Doctor’s Hostel,
Khyber Teaching Hospital Peshawar, Peshawar, Pakistan.
E-mail: drmzareen@yahoo.co.uk

* Received for Publication: April 24, 2010
* Revision Received: May 11, 2010
* Revision Accepted: May 20, 2010



HOME   |   SEARCH   |   CURRENT ISSUE   |   PAST ISSUES

Professional Medical Publications
Room No. 522, 5th Floor, Panorama Centre
Building No. 2, P.O. Box 8766, Saddar, Karachi - Pakistan.
Phones : 5688791, 5689285 Fax : 5689860
pjms@pjms.com.pk