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Updated: May 7, 2026
08:09
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
[Post-hysterectomy vesicovaginal fistula].
1Service d'urologie-andrologie, CHU Aristide-Le-Dantec, avenue Pasteur, BP 35354, Dakar, Sénégal.
Summary
This study on post-hysterectomy vesicovaginal fistula (VVF) found a satisfactory cure rate using surgical repair, despite significant psychosocial challenges for patients. Early diagnosis and treatment are crucial for managing VVF complications.
Area of Science:
- Gynecologic Surgery
- Urology
- Epidemiology
Context:
- Vesicovaginal fistula (VVF) is a significant complication following hysterectomy.
- Understanding the epidemiology and treatment outcomes of post-hysterectomy VVF is essential for improving patient care.
Purpose:
- To describe the epidemiology, diagnosis, and treatment of vesicovaginal fistula (VVF) secondary to hysterectomy.
- To evaluate the surgical approach and cure rates for post-hysterectomy VVF.
Summary:
- A retrospective study identified 14 cases of post-hysterectomy VVF over 10 years, with hysterectomies performed via laparotomy.
- The mean age of patients was 54.3 years; common indications for hysterectomy included uterine leiomyoma and cervical cancer.
- Surgical repair, primarily through transperitoneal or transvesical approaches, achieved a satisfactory cure rate in 78% of patients, though some experienced postoperative complications.
Impact:
- This study highlights a satisfactory cure rate for post-hysterectomy VVF treated surgically, emphasizing the need to address psychosocial morbidity.
- Findings contribute to the understanding of VVF management, guiding clinical practice and patient support strategies.
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