Surgical management of vesicovaginal fistula

Aim: to look into the etiology of vesicovaginal fistulae,age,presentation of the patient,outcome of surgical repair.methods: this descriptive study was carried out in the department urology,nishtar hospital,multan from september 2012 to march 2013. a total of 25 patients with vesicovaginal fistula were included in the study.results: all women were illiterate and in 72% of cases,their husbands were also uneducated. out of 25 patients,18(72%) belonged urban population and most of the patients are from poor class. vesicovaginal fistula formed in 40% in primiparae and 60% in multipara. duration of symptoms ranged from 3 months to 4 years,median 8 months. out of 25 patients,21(84%) patients had single fistula while 4(16%) had multiple fistula. size of fistula was ranged from 0.5 cm to 4 cm average postoperative stay of the patients in hospital was 7 days. overall success rate of vesicovaginal fistula repair was 87.5%.conclusion: from the present study it was concluded that vesicovaginal fistulae continue to be a rather common problem in our country. © 2014 pakistan journal of medical and health sciences. all rights reserved.