Eighty Mardiyan Kurniawati and Yuni Sudiartien and Hari Paraton and Gatut Hardianto and Azami Denas Azinar and Tri Hastono Setyo Hadi (2020) Characteristics of vesicovaginal fistula with operative measures at tertiary referral hospital. EurAsian Journal of BioSciences, 14 (1). pp. 1721-1725. ISSN 13079867

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Abstract

Introduction: Vesicovaginal fistula (VVF) is an abnormality urinary bladder and vaginal organ. We evaluated the success rate of the surgery in VVF therapy. Methods: Data were obtained from medical records of an urogynaecology outpatient clinic from 2016 to 2018. Results: From 2016 to 2018, there were 35 patients with VVF. Nineteen from 35 patients were conservatively treated and 16 patients were operated. Then, 15 patients (93.75%) had transvaginally treatment, and 1 patient (12.5%) had transabdominally treatment. Fistula repair surgeries were conducted at 10 patients (62.5%) in more than 3 months after their complaint of urine leaking. Six patients (37.5%) had it in less than 3 months. Three patients got repair treatment (18.75%) due to obstetric management, 12 patients (75%) due to gynecological surgery, and 1 patient due to urological problem. Eleven out of the 16 cases (68.75%) got repair treatment in this hospital, then had success surgery. Conclusion: The most common cause of VVF was gynecological surgery. The success rate of VVF repair was moderate.

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