MP75-20 LONG-TERM OUTCOMES OF LAPAROSCOPIC REPAIR OF VESICOUTERINE FISTULA: EXPERIENCE FROM A TERTIARY CARE CENTRE OF NORTHERN INDIA

Abstract

You have accessJournal of UrologyUrodynamics/Lower Urinary Tract Dysfunction/Female Pelvic Medicine: Female Incontinence: Therapy III1 Apr 2018MP75-20 LONG-TERM OUTCOMES OF LAPAROSCOPIC REPAIR OF VESICOUTERINE FISTULA: EXPERIENCE FROM A TERTIARY CARE CENTRE OF NORTHERN INDIA Vishwajeet Singh, Sunny goel, Seema Mehrotra, and Rahul Janak Sinha Vishwajeet SinghVishwajeet Singh More articles by this author , Sunny goelSunny goel More articles by this author , Seema MehrotraSeema Mehrotra More articles by this author , and Rahul Janak SinhaRahul Janak Sinha More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2018.02.2112AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Vesicouterine fistula (VUF) is a rare cause of female genito-urinary fistula. It comprises 1-4% of all urogenital fistulas. Most of these fistulas occur due to lower segment caesarean section (LSCS). The incidence of VUF is increasing because of increasing prevalence of caesarean section. Traditionally, open surgical repair has been the treatment of choice. However, laparoscopic repair of VUF is a minimally invasive technique and few case reports have been published with short term follow up. In the current study, we are presenting our long- term outcomes of laparoscopic repair of VUF METHODS A retrospective analysis of patients was performed who underwent laparoscopic repair of VUF between 2010 and 2017 after approval of Institutional Review Committee. Nine patients had history of LSCS of whom 3 had history of prolonged obstructed labour and 1 patient had history of dilatation and curettage for medical termination of pregnancy. Radiological imaging included ultrasound of kidney, ureter and bladder for all patients and hysterosalpingography (HSG) in 4 patients and contrast enhanced computed tomography scan in all patients. RESULTS The most common presentation was cyclical menstrual bleeding through urine (menouria) in 9 of 10 patients, associated amenorrhea in 7 and vaginal leakage of urine in 3 cases. Median age of the patient was 28.3 years (range, 22-37), and median postoperative follow up was 2.3 years (range, 1 -4). All patients underwent transperitoneal laparoscopic repair of VUF with successful outcomes (Table-1). The mean operating time was 158.7±16.9 min (range, 135-186 min) with a median blood loss of 100 mL (range, 50-210 mL). All patients were advised not to become pregnant for 1 year following laparoscopic repair. Three patients conceived in follow-up and all delivered normal baby by LSCS CONCLUSIONS Laparoscopic repair of VUF is a safe and effective minimally invasive technique with successful pregnancy in long- term follow up. © 2018FiguresReferencesRelatedDetails Volume 199Issue 4SApril 2018Page: e1017 Advertisement Copyright & Permissions© 2018MetricsAuthor Information Vishwajeet Singh More articles by this author Sunny goel More articles by this author Seema Mehrotra More articles by this author Rahul Janak Sinha More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...