The outcomes of surgical repairs of vesicovaginal fistula in 16 patients

Abstract

We retrospectively analysed 16 patients who underwent surgical repair for vesicovaginal fistula (VVF) in our department from 1995 to 2012. A total of 14 patients (88%) were cured after the primary repair and two patients were cured by reoperation. We compared the characteristics of the patients whose VVF occurred early and late after surgery. In univariate analysis, the estimated area of the fistula was significantly greater in the late-onset group (p = 0.011). There was a tendency for the maximum diameter of the fistula to be larger (p = 0.08) and a surgical energy device was used more frequently during surgery (p = 0.12) in the late-onset group than in the early-onset group. In conclusion, the outcomes of surgical VVF repair were acceptable. The characteristics of VVF that developed late postoperatively were different from those that developed early postoperatively.

Keywords::

• Cause of vesicovaginal fistula
• iatrogenic vesicovaginal fistula
• surgical energy device
• vesicovaginal fistula
• vesicovaginal fistula repair

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.