Qadeer Ahmad Tariq, Sarfaraz Ahmad, Mazhar Abbass.
Surgical Management of Vesicovaginal Fistula.
Pak J Med Health Sci Jan ;8(3):628-30.

Aim: To look into the etiology of vesicovaginal fistulae, age, presentation of the patient, outcome of surgical repair. Methods: This descriptive study was carried out in the Department Urology, Nishtar Hospital, Multan from September 2012 to March 2013. A total of 25 patients with vesicovaginal fistula were included in the study. Results: All women were illiterate and in 72% of cases, their husbands were also uneducated. Out of 25 patients, 18(72%) belonged urban population and most of the patients are from poor class. Vesicovaginal fistula formed in 40% in primiparae and 60% in multipara. Duration of symptoms ranged from 3 months to 4 years, median 8 months. Out of 25 patients, 21(84%) patients had single fistula while 4(16%) had multiple fistula. Size of fistula was ranged from 0.5 cm to 4 cm Average postoperative stay of the patients in hospital was 7 days. Overall success rate of vesicovaginal fistula repair was 87.5%. Conclusion: From the present study it was concluded that vesicovaginal fistulae continue to be a rather common problem in our country.

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