Vesicocervical fistula following vesicovaginal fistula repair is a very rare condition. It is a complication following repeated lower uterine cesarean section. We report a case of an young married woman who was admitted in the department of urology, Banghabandhu Sheikh Mujib Medical University Hospital with vesico-cervical fistula following vesicovaginal fistula repair. Reposition of cervix into vaginal vault and repair of urinary bladder was done. There was no such report of vesicocervical fistula following vesicovaginal fistula repair from Bangladesh.
Objective: The objective of this study is to determine the ipsilateral renal function after open pyeloplasty.
Patients and methods: The study comprises 50 patients with ultrasonographically and urographically demonstrated hydronephrosis and primary pelvi-ureteric junction obstruction for reconstructive surgical treatment at urology department of Bangabandhu Sheikh Mujib Medical University Hospital between January 2012 and September 2013. Anderson- Hynes pyeloplasties were performed in 50 patients. Data were collected by interview, review of records and documents in data collection sheet. Data were analyzed by using paired t-test. Level of significance was set at 5%(P<0.05). Statistical analysis done by SPSS (SPSS Inc. Chicago, IL, USA), version 16.0.0.
Results: The male and female ratio was1: 0.33. Mean age of the patients was 7.35 years. Left and right side ratio was 1.5: 1. The mean ± SD of pre operative cortical thickness was 3.67 ± 0.91 and post operative thickness after 1 month, 3 months, 6 months and 12 months were 3.95 ± 0.91, 4.61 ± 1.18, 4.61 ± 1.18, 5.15 ± 1.31 and 6.22 ± 1.37 respectively. The mean ± SD of split renal function were 24.22 ± 3.42 and 29.14 ± 4.20 in pre operative and post operative respectively. The mean ± SD of split GFR were 25.38 ± 4.11and 34.47 ± 6.30 in pre operative and post operative respectively. Renal functional status was seen as improvement in 39, stable in 3, and deterioration in 2 patients.
Conclusions: When dealing with patients with pelviureteric junction obstruction, surgical treatment should be undertaken in patients with symptoms and/or impaired renal function.
Bangladesh Journal of Urology, Vol. 18, No. 1, Jan 2015 p.28-32
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.