Abstract
In this manuscript the authors have studied the various causes of vesico-vaginal fistula (VVF) and described etiology, clinical characteristics, and surgical outcome of VVF patients managed at CCBRT. They show that out of 155 patients 104 had surgery for VVF, 25 for stress incontinence (SI), 7 for perineal tears, 6 for recto-vaginal fistula (RVF) and 5 for other reasons, such as urethral strictures and bladder stones. They found a rate of 37 (35.58% out of 104 patients) with definitely iatrogenic fistula and therefore support the observation also made by others that there is a shift in etiology of VVF.
Highlights
Even though huge progress has been made in providing pregnant women with skilled birth attendants and better-equipped health facilities worldwide, there are still about 1 million women suffering from obstetric fistula (OF) in Sub-Saha-ran Africa and South Asia [1] [2].A fistula is defined as “an abnormal connection between an internal hollow organ and the outer epithelial layer of the body”, e.g.: between the urethra, blad-P
Between 1st January and 31st March 2016, 155 women underwent fistula surgery at CCBRT. 104 of them for vesico-vaginal fistula (VVF), 4 for VVF after total abdominal hysterectomy my (TAH), 4 for vault fistulas, 25 for stress incontinence (SI), 7 for perineal tears, 6 for recto-vaginal fistula (RVF) and 5 for other reasons, such as urethral strictures and bladder stones. 69 (66.34%) of the 104 patients with VVF had been delivered by caesarean sections (CS)
As the patients who had VVF type IIBb that by definition is a more severe injury and has less good prognosis for becoming continent, we found that 12 (11.53%) women had this type of fistula. 6 of them were discharged home being dry, 6 were still leaking urine, one of them having a negative dye test but is still leaking urine the fistula was closed, due to residual stress incontinence that will need further surgery
Summary
Even though huge progress has been made in providing pregnant women with skilled birth attendants and better-equipped health facilities worldwide, there are still about 1 (to 2) million women suffering from obstetric fistula (OF) in Sub-Saha-ran Africa and South Asia [1] [2].A fistula is defined as “an abnormal connection between an internal hollow organ and the outer epithelial layer of the body”, e.g.: between the urethra, blad-P. The term Vesico Vaginal Fistula (VVF) is most frequently used to describe an abnormal connection between organs of the pelvis, i.e.: between the urethra, bladder, ureter and the uterus, cervix and/or vagina.
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
