Srpski arhiv za celokupno lekarstvo 2012 Volume 140, Issue 11-12, Pages: 756-759
https://doi.org/10.2298/SARH1212756R
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Vesicovaginal fistulas: Results of surgical treatment during ten years
Radovanović Milan (Klinika za urologiju, Klinički centar Srbije, Beograd)
Džamić Zoran (Klinika za urologiju, Klinički centar Srbije, Beograd + Medicinski fakultet, Beograd)
Vuksanović Aleksandar (Klinika za urologiju, Klinički centar Srbije, Beograd + Medicinski fakultet, Beograd)
Pejčić Tomislav (Klinika za urologiju, Klinički centar Srbije, Beograd)
Nikić Predrag (Klinika za urologiju, Klinički centar Srbije, Beograd)
Introduction. Vesicovaginal fistulas (VVF) are the most common and the most
frequent type of urogenital fistulas. They may have a different etiology. In
most cases, surgery is required for treatment. Objective. The aim of the
study was to analyze the results of surgical therapy of VVF in a tertiary
level institution over the last decade. Methods. The retrospective study of
results was conducted involving a total number of 99 women who were
surgically treated for VVF at the Clinic of Urology of the Clinical Center of
Serbia in Belgrade in the period from 2001–2010. Results. Over the past ten
years VVF occurred after hysterectomy in 74.7% of cases, and almost twice
more frequently after hysterectomy for a benign gynecological disease. In the
surgical treatment of primary VVF transvesical approach was used in 53.53%
(52/99) of cases. Relapses were treated surgically using transperitoneal
approach in all cases. No significant difference was found in respect to the
applied approach in the surgical treatment of primary fistulas. In even 94%
(93/99) of cases the problem of VVF was solved by a single surgical
intervention only. In total, in 107 interventions 8 (7.4%) relapses were
recorded. Conclusion. The study showed that VVF occurred after hysterectomy
in three quarters of cases, more frequently after hysterectomy due to a
benign gynecological disease. Early detection with timely and appropriate
treatment of gynecological diseases will reduce the number of conditions that
may lead to VVF. Surgical treatment of VVF yielded satisfactory results; it
was shown that even in 94% of cases the problem of VVF was solved by a single
surgical intervention only, however further improvement is certainly
necessary.
Keywords: vesicovaginal fistula, surgical treatment, hysterectomy