Vesicovaginal fistula (VVF) - A prospective analysis

Abstract

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%.

Surgical Outcome of Hundred Vesico Vaginal Fistula Patients in National Fistula Centre

“…8 Many international studies have also labeled obstetrical trauma to be the major cause of VVF in under developed countries. 5,6,7 Most of the stulas (95%) were repaired through vaginal route by ap splitting Technique. is ndings are similar to the previous ndings in DMCH.…”

“…1,4 However the WHO estimated that over 20 million women are living with this condition with 50,000 to 100,000 new cases per annum. 5 is is attributed to poverty, illiteracy, ignorance and poor obstetric services. In low resourced countries (LRC), VVF most often results following neglected prolonged obstructed labour.…”

“…7 According to this report women living with stula in Bangladesh are usually in the age group of 15-30 years, illiterate, poor and unaware that treatment is available, or cannot access or afford it .To date, very few concerted efforts have been undertaken to address the stula issue. 5 In Bangladesh 8,00,000 to 10,00,000 women are estimated to be awaiting repair. 7 e outcome of VVF repair depends on many factors like site, size, number of stula, bladder capacity and amount of scarring etc.…”