fistulas (VVFs) are the most commonly acquired fistulae of the urinary tract.
The specific operative steps were as follows:First, 40 ml epinephrine in saline (1:200,000) was injected into the vesicovaginal
space, and a midline vaginal incision was made from the bladder neck to the anterior fornix.
Methods: The descriptive study was conducted at the District Headquarter Hospital, Timergara, Lower Dir, Pakistan, from November 1, 2011 to November 2013, and comprised all patients admitted in Urology unit with vesicovaginal
Most cases occurred in women with neglected or forgotten pessaries, though two cases of vesicovaginal
fistula occurred in older adult women who were obtaining regular care.
Medical charts entered into a RedCap Database were collected for any patient who received a PC sling and/or a RPCF at the time of vesicovaginal
Four patients had surgical site infections leading to breakdown of vesicovaginal
fistula (VVF) repair; 4 cases of post-operative urinary tract infection (UTI) were successfully treated with intravenous antibiotics.
Objective: To evaluate various prognostic factors which determine outcome after surgical repair of vesicovaginal
(20-31) By combining the data in both case reports and case studies, we found that the most frequent complications were: vaginal discharge, bleeding, vesicovaginal
fistula, erosion, ulceration, and foul odor (Table 1).
The obstetric vesicovaginal
fistula in the developing world.
However, UR still appears to be a relatively common and serious obstetric catastrophe especially in developing countries.1-3 Immediate complications like anemia, urinary bladder rupture or shock and long-term complications such as infertility, foot drop or vesicovaginal
fistula may be encountered due to UR.4,5
By contrast, by consistently performing a full-thickness vaginal wall dissection (FIGURE 10) and placing the mesh in the true vesicovaginal
space, (56) we have achieved a TVM exposure rate as low as 0% to 3% (40,54) if we can standardize the dissection component across our subspecialty, the rate of mesh exposure undoubtedly will decrease.
Between December 2012 and June 2014 (when funding for this study ended), a convenience sample of women who presented for surgical care of OF (defined as vesicovaginal
fistula and/or rectovaginal fistula that developed during or immediately after labor) were recruited for participation as cases.