Vesico vaginal fistula disease is as old as antiquity, VVF has a profound effect on the patient`s emotional well being. The main object of our study was to find out the etiology, success of repair, in our set up. A total of 26 patients were included in our study, with the mean age of 30 years, all were almost illiterate (88.56%), Multiparous (57.69%), with the height more than 151cm (53.84%). The cause of injury noted for birth trauma was, Obstructed labor (42.30%). The time interval for the presentation of the patient for the treatment in 61.54% was 2-10 month. The success rate noted was 92.30%.

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To evaluate the indications, complications and justifications of hysterectomy. Period: One year, from 1 st January to31st December 2015. Setting: Gynae and Obstetrics Department Unit 2 of SIMS Lahore. Methodology: This study included all gynecological hysterectomies. Most hysterectomies were done through abdominal route (84%), followed by vaginal (16%). Most common indication for hysterectomy was fibroid uterus (50.45%), followed by adenomyosis, 9.17% and uterovaginal prolapse (15.59%). Complication rate was 7%, it included hemorrhage, infection and injury to surrounding organs. Hysterectomy was justified in 92% cases. Conclusion: Hysterectomy is used to treat HMB, and it improves quality of life. However it is associated with certain degree of morbidity and mortality. So alternative conservative method should be discussed /tried before hysterectomy.

Objective: To evaluate the indications, complications and justifications ofhysterectomy. Period: One year, from 1st January to31st December 2015. Setting: Gynaeand Obstetrics Department Unit 2 of SIMS Lahore. Methodology: This study included allgynecological hysterectomies. Most hysterectomies were done through abdominal route(84%), followed by vaginal (16%). Most common indication for hysterectomy was fibroid uterus(50.45%), followed by adenomyosis, 9.17% and uterovaginal prolapse (15.59%). Complicationrate was 7%, it included hemorrhage, infection and injury to surrounding organs. Hysterectomywas justified in 92% cases. Conclusion: Hysterectomy is used to treat HMB, and it improvesquality of life. However it is associated with certain degree of morbidity and mortality. Soalternative conservative method should be discussed /tried before hysterectomy.