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Related Experiment Videos

Vesical fistulae--an experience from a developing country

V Raut1, M Bhattacharya

  • 1Dept of Obstetrics and Gynaecology, KEM Hospital and Seth GS Medical College, Parel, Bombay, Maharashtra.

Journal of Postgraduate Medicine
|January 1, 1993
PubMed
Summary

This study investigated vesical fistulae, finding most cases stemmed from obstetric complications. Surgical repair achieved an 87.09% success rate, highlighting effective treatment for this condition.

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Area of Science:

  • Urology
  • Obstetrics & Gynecology

Background:

  • Vesical fistulae are debilitating conditions often arising from obstetric trauma.
  • Understanding the etiology and outcomes of surgical repair is crucial for patient management.

Purpose of the Study:

  • To analyze the incidence, causes, and surgical outcomes of vesical fistulae over a decade.
  • To evaluate the success rates of standard layered closure for vesical fistulae.

Main Methods:

  • Retrospective analysis of 62 patients with vesical fistulae over ten years.
  • Detailed urological work-up followed by surgical repair using a standard layered closure technique.
  • Vaginal and abdominal approaches were utilized based on case specifics.

Main Results:

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  • 60 out of 62 cases were obstetric in origin (44 home, 16 hospital deliveries).
  • Hospital deliveries leading to fistula included 8 vaginal, 7 forceps, and 1 caesarean section.
  • Surgical repair was successful in 53 (87.09%) patients, with 4 failures being repeat repairs.

    • Conclusions:

    • Obstetric complications remain the primary cause of vesical fistulae.
    • Standard layered closure offers a high success rate for vesical fistula repair.
    • Further research into preventing and managing recurrent fistulae is warranted.