Asian Research Journal of Gynaecology and Obstetrics

Case Series of Vesicovaginal Fistulae in Nizwa Hospital, Trend, Outcome and Review of Literature

Rekha Bangalore Venkatesh *

Nizwa Hospital, Oman.

Shadya Al Saeghi

Nizwa Hospital, Oman.

Fatma Al Shuraiqi

Nizwa Hospital, Oman.

Hansa Dhar

Nizwa Hospital, Oman.

Qamariya Khalfan saud Ambusaidi

Nizwa Hospital, Oman.

*Author to whom correspondence should be addressed.

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Abstract

Vesicovaginal fistula (VVF) an iatrogenic complication is a distressful condition. In developed countries, the majority of fistula result from gynecological/urogynecological surgeries, whereas in under developed countries, obstructed labour remains a common cause. Accurate diagnosis and proper preoperative planning are essential for a successful outcome.  Although the incidence of vesicovaginal fistula resulting from a hysterectomy is estimated to be less than 1%, we should still be cautious of the possibility of this occurrence, evaluate and treat as necessary when suspicion arises. In addition surgical experience, judgment and appropriate technique will enhance the outcome of fistula repair. We report three cases of vesicovaginal fistula occurring in different scenarios with their management.

Keywords: Vesicovaginal fistula, hysterectomy, post-operative, iatrogenic, caesarean section

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