scholarly journals Iatrogenic Genitourinary Fistula: Changing Trends

2019 ◽  
Vol 14 (1) ◽  
pp. 44-47
Author(s):  
T Pradhan ◽  
T Basnet ◽  
BD Thapa ◽  
MC Regmi
Keyword(s):  
Decision Making ◽  
Work Environment ◽  
Emergency Caesarean Section ◽  
Vaginal Fistula ◽  
Fistula Repair ◽  
Genitourinary Fistula ◽  
Changing Trends ◽  
Increasing Trend ◽  
History Of ◽  
Vesico Vaginal Fistula

Aims: To study the frequency of iatrogenic cause amongst the surgery done for genitourinary fistula and to study the type and cause of iatrogenic genitourinary fistula. Methods: This is retrospective study of women undergoing surgery for genitourinary fistula repair from year 2013 to 2018. The analysis considers frequency and characteristics of type of fistula. Results: Out of 223 genitourinary fistula 75 (33.6%) were iatrogenic. Vaginal vault fistula were 25% followed by uretero-vaginal fistula (32.9%), vesico-vaginal fistula (32.9%) and there were 4 iatrogenic recto-vaginal fistula; 81.6% of the iatrogenic fistula had preceding history of hysterectomy followed by emergency caesarean section (17.1%). There is annual increasing trend in iatrogenic fistula repair from 3 to 23. Conclusions: Women undergoing hysterectomy were under risk for iatrogenic fistula. Optimum work environment is important to reduce surgical error during procedures. Operating training should be emphasised on optimal surgical skills, decision making. Keywords: genitourinary fistula, ureteric fistula, vault fistula

scholarly journals Iatrogenic Genitourinary Fistula: Changing Trends

2018 ◽  
Vol 13 (2) ◽  
Author(s):  
T Pradhan ◽  
A Agrawal ◽  
MC Regmi
Keyword(s):  
Decision Making ◽  
Retrospective Study ◽  
Work Environment ◽  
Vesicovaginal Fistula ◽  
Emergency Caesarean Section ◽  
Fistula Repair ◽  
Genitourinary Fistula ◽  
Changing Trends ◽  
Increasing Trend ◽  
History Of

Aims: To study the frequency of iatrogenic cause amongst the surgery done for genitourinary fistula and to study the type and cause of iatrogenic genitourinary fistula. Methods: This is a 5 year retrospective study analyses 73 iatrogenic fistulas from 217 women undergoing surgery for genitourinary fistula repair from year 2013 to 2018 on going. The analysis considers frequency and characteristics of type of fistula. Results: Out of 217 genitourinary fistula 73(33.6%) were iatrogenic. Vaginal vault fistulas were 54.7% followed by ureteric fistula 32.8%, vesicovaginal fistula 10.9% and there were 2 iatrogenic RVF. The frequency of surgeries for iatrogenic fistula were found to be in increasing trend towards current years and 83.5% of the iatrogenic fistula were found with history of hysterectomy followed by emergency caesarean section 16.4%.  Conclusions: Women undergoing hysterectomy were under risk for iatrogenic fistula. Optimum work environment is important to reduce surgical error during procedures. Operating training should be emphasized on optimal surgical skills, decision making.

scholarly journals Vesico-Vaginal Fistula Repair Through Abdominal Approach

KYAMC Journal ◽  
2020 ◽  
Vol 11 (3) ◽  
pp. 129-132
Author(s):  
Hafiz Al Asad ◽  
Asif Yazdani ◽  
Zulfia Zinat Chowdhury ◽  
Muhammad Faruk Hussain ◽  
AKM Shahadat Hossaion ◽  
...  
Keyword(s):  
Wound Infection ◽  
Operative Time ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Pelvic Surgery ◽  
Vaginal Fistula ◽  
Abdominal Approach ◽  
History Of ◽  
Vesico Vaginal Fistula

Background: Vesico-Vaginal Fistula (VVF) is a major cause for concern in many developing countries with significant morbidity. Among the different techniques abdominal approach of VVF repair is important one. Objective: To find out the outcome of VVF repair by abdominal approach. Materials and Methods: It is a prospective study. Twenty-three patients with VVF were operated with abdominal approach from the period of January 2016 to January 2019. Age of patients, co-morbidities, cause, size and location of VVF were evaluated. Then abdominal approach of VVF repair was done. Operative time and need of blood transfusion were encountered. Post operative (POD) urine leakage, wound infection or other complications were enlisted. Patients were discharged with keeping urethral catheter for 14 days. Follow up was done after 1 and 3 month and in each follow up history and physical examination was done. All collected data were evaluated. Results: Mean age of the patient was 40 years. Among the 23 patients 12 (52%) patients had history of total abdominal hysterectomy, 9 had history of caesarian section and 2 cases had history of pelvic surgery. VVF repair was done at least 12 weeks after its occurrence. Operative time ranged from 90 minutes to 150 minutes. In the immediate POD no obvious complications were noted except one patient developed wound infection on 7th POD. Follow-up done as per schedule and no recurrence of VVF noted. Conclusion: VVF repair through abdominal approach is a feasible, safe and effective technique if performed meticulously. KYAMC Journal Vol. 11, No.-3, October 2020, Page 129-132

V-GYN-PE/AD-MD-076 Pediatric Laparoscopic Congenital Vesico-vaginal Fistula Repair for Vaginal Agenesis

2016 ◽  
Vol 38 (5) ◽  
pp. 483
Author(s):  
L. Allen ◽  
Frank J. Penna ◽  
Paul R. Bowlin ◽  
Rakan I. Odeh ◽  
Walid A. Farhat
Keyword(s):  
Vaginal Fistula ◽  
Fistula Repair ◽  
Vaginal Agenesis ◽  
Vesico Vaginal Fistula

scholarly journals Simple and effective: transvaginal vesico-vaginal fistula repair with a modified Latzko technique

2017 ◽  
Vol 29 (5) ◽  
pp. 767-769 ◽  
Author(s):  
Olivia Cardenas-Trowers ◽  
John Heusinkveld ◽  
Kenneth Hatch
Keyword(s):  
Vaginal Fistula ◽  
Fistula Repair ◽  
Vesico Vaginal Fistula

scholarly journals Robotic vesico-vaginal fistula repair with no omental flap interposition

2016 ◽  
Vol 27 (8) ◽  
pp. 1277-1278 ◽  
Author(s):  
Alberto Martini ◽  
Eugenio Dattolo ◽  
Jacopo Frizzi ◽  
Donata Villari ◽  
Maria Cristina Paoletti
Keyword(s):  
Omental Flap ◽  
Vaginal Fistula ◽  
Fistula Repair ◽  
Vesico Vaginal Fistula

Robot-assisted Vesico-vaginal Fistula Repair: A Compilation

Urology ◽  
2018 ◽  
Vol 119 ◽  
pp. 1-4 ◽  
Author(s):  
Aditya P. Sharma ◽  
Ravimohan M. Mavuduru, ◽  
Girdhar S. Bora ◽  
Sudheer K. Devana ◽  
Shrawan K. Singh ◽  
...  
Keyword(s):  
Vaginal Fistula ◽  
Fistula Repair ◽  
Robot Assisted ◽  
Vesico Vaginal Fistula

scholarly journals Profile of Obstetric and Iatrogenic Fistula Surgeries at Kathmandu Model Hospital

2018 ◽  
Vol 13 (2) ◽  
pp. 19-22
Author(s):  
Ranjana Shrestha ◽  
Aruna Karki ◽  
Ganesh Dangal ◽  
Hema Pradhan ◽  
Kabin Bhattachan ◽  
...  
Keyword(s):  
Primary Outcome ◽  
Obstetric Fistula ◽  
Sexual Life ◽  
Successful Outcome ◽  
Urinary Continence ◽  
Vaginal Fistula ◽  
Fistula Repair ◽  
Fistula Surgery ◽  
Prolonged Labor ◽  
Vesico Vaginal Fistula

Aims: Vesico-vaginal fistula (VVF) is an abnormal fistulous communication between the bladder and/or urethra and the vagina that allows continuous involuntary discharge of urine into the vaginal vault affecting patients’ medical, physical, mental, social and sexual life. The aim of this study was to review and deliver a profile, their demography and outcome in the early phase of fistula surgery performed in our institute. Methods: This was a retrospective study of 222 patients who underwent fistula surgery during the period of January 2012 to March 2018 in Kathmandu Model Hospital. The fistula were classified according to Goh`s system.  Patients’ demography, obstetric characteristics and fistula repair outcomes were reviewed. The primary outcome was in terms of urinary continence. Results: A total of 222 women aged between 10 to 65 years with a mean age of 31.4 were included. Majority of the patients had fistula due to obstetrical cause, contributing 58% (n=127) and in 42 % (n=95) of patients had fistula of gynecological etiology. Most of the patients had fistula of type 1a, contributing 38% (n=84) and only 0.01% (n=3) of type 3c and 4b according to Goh’s classification. Among 127 fistulas repaired of obstetric etiology100 (78.7%) patients and 85 (89.4%) out of 95 fistula patients of gynecological cause were continent and dry. Conclusions:  Our study showed obstructed and prolonged labor was the major cause of obstetric fistula, however iatrogenic fistula was also becoming common. Majority of our cases had successful outcome with some degree of stress in some patients.

Vaginal flap re-enforcement of vesico-vaginal fistula repair

2010 ◽  
Vol 21 (7) ◽  
pp. 829-833 ◽  
Author(s):  
Mohamed S. Shoukry ◽  
Mohamed E. Hassouna ◽  
Salah El-Salmy ◽  
Aly M. Abdel-Karim
Keyword(s):  
Vaginal Fistula ◽  
Fistula Repair ◽  
Vesico Vaginal Fistula
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