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Published on: April 1, 2022
Iatrogenic vesicovaginal fistula
Yasmin Raashid1, Tayyaba Tmajeed, Naeem Majeed
1Department of Obstetrics and Gynaecology, King Edward Medical University, Lahore.
Summary
Iatrogenic injuries, often following gynecological procedures, account for over half of vesicovaginal fistula (VVF) cases in women under 40. Surgical experience is crucial for preventing these VVF cases.
Area of Science:
- Obstetrics and Gynecology
- Surgical Complications
- Public Health
Background:
- Vesicovaginal fistula (VVF) is a significant concern, particularly in developing countries.
- Understanding the etiology of VVF is crucial for effective prevention and management strategies.
Purpose of the Study:
- To determine the frequency of iatrogenic VVF among patients undergoing VVF repair.
- To analyze the demographic profile and etiological factors of VVF.
Main Methods:
- An observational study was conducted at Lady Willingdon Hospital, Lahore, from January 2007 to December 2008.
- Data was collected from all VVF cases, including detailed history, physical examination, and evaluation under general anesthesia.
- Iatrogenic VVF was defined as fistula following a gynecological procedure.
Main Results:
- Iatrogenic causes accounted for 54% of VVF cases, while 46% resulted from obstructed labor.
- Women under 40 years old constituted 77% of the total VVF cases.
- The overall success rate for VVF repair was 87%.
Conclusions:
- Iatrogenic VVF is a major contributor to fistula cases, especially in younger women.
- There is a need to assess and improve the experience of surgeons performing gynecological and obstetrical procedures in developing nations.
- Preventive measures focusing on surgical technique are essential to reduce iatrogenic VVF.
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