Muhammad Tariq, Iftikhar Ahmed, Muhammad Arif, Muhammad Ashiq Ali, Muhammad Iqbal Khan.
Comparision of out come of vesico-vaginal fistula repair with and without omental patch.
Ann Pak Inst Med Sci Jan ;7(3):123-6.

Objective: to evaluate the outcome of vesicovaginal fistula repair with and without interposition of omental patch. Study Design: Case Series Study Place and Duration: This study was carried out at Department of Urology & Renal Transplant center Bahawal Victoria Hospital Bahawalpur, from July 2008 to July 2010 Materials and Methods: Fifty patients having large size trigonal and supratrigonal vesicovaginal fistula were included in this study. Those patients in whom urethra, rectum are involved and those having vesicovaginal fistula due to radiation or malignancy were excluded from the study. All these patients were admitted from outdoor of Urology department. After getting complete history and investigation the diagnosis was made. Patients were divided into two groups. In group A, vesicovaginal fistula repair was done by interposition of omental patch between urinary bladder and vagina in group B, vesicovaginal fistula repair was done without interposition of omental patch. The result of both these group were compared. Results: Fifty patients were included in this study. Ages of these patients were between 20-70 year. Size of the fistula was between 3cm to 6cm. 44 (88%) patients having vesicovaginal fistula alone and 6(12%) patients were having vesicovaginal fistula along with ureterovaginal fistula. 42(84%) patients having vesicovaginal fistula due to surgical and 8(16%) patients due to obstetrical causes. Success in group A was 96% and in group B 84%. Conclusion: Those patients having large vesicovaginal fistula at trigonal or supra trigonal region, repair should be done through abdominal route and omentum should interposed between bladder and vagina to achieve maximum favorable result.

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