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Vesicovaginal fistulae.

J Kelly

    British Journal of Urology
    |June 1, 1979
    PubMed
    Summary
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    This study analyzed 616 patients with vesicovaginal fistulae, finding an 81% cure rate. It details the causes, repair methods, and outcomes for these complex cases.

    Area of Science:

    • Urology
    • Gynecology
    • Surgical Outcomes

    Background:

    • Vesicovaginal fistulae (VVF) are abnormal connections between the bladder and vagina.
    • VVF can result from childbirth, surgery, or radiation, significantly impacting quality of life.
    • Concurrent rectovaginal fistulae present additional surgical challenges.

    Purpose of the Study:

    • To investigate the aetiology of vesicovaginal fistulae.
    • To evaluate various surgical methods for VVF repair.
    • To report the outcomes and cure rates in a large patient cohort.

    Main Methods:

    • Retrospective analysis of 616 patients diagnosed with VVF.
    • Detailed review of surgical techniques employed for fistula repair.
    • Assessment of patient data including pre-operative conditions and post-operative results.
    Keywords:
    AfricaAfrica South Of The SaharaBiologyCesarean SectionClinical ResearchDeliveryDelivery Of Health CareDeveloped CountriesDeveloping CountriesDiseasesEastern AfricaEnglandEthiopiaEuropeGynecologic SurgeryHealthHealth ServicesMedicineMedicine, TraditionalMorbidityNorthern EuropeObstetrical SurgeryPhysiologyPregnancyPregnancy OutcomesReproductionResearch MethodologySurgeryTreatmentUnited KingdomUrogenital EffectsUrogenital SurgeryUrogenital SystemVaginal AbnormalitiesVaginal Injury

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    Main Results:

    • An overall cure rate of 81% was achieved in the studied population.
    • The study included 26 patients with concomitant rectovaginal fistulae.
    • Specific aetiological factors and repair success rates were documented.

    Conclusions:

    • Surgical repair of vesicovaginal fistulae can achieve high success rates.
    • Understanding aetiology is crucial for selecting appropriate repair methods.
    • Multidisciplinary approaches may be beneficial for complex cases involving multiple fistulae.