Characteristic of Vesicovaginal Fistula Surgical
IUGA Academy. Djusad S. Jun 30, 2018; 213028; 303 Topic: Diverticula-Fistula
Dr. Suskhan Djusad
Dr. Suskhan Djusad

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Characteristic of vesicovaginal fistula surgical

Djusad, S1; Al Fattah, AN1

1: Dr. Cipto Mangunkusumo Hospital - Urogynecology

Introduction: Vesicovaginal fistula (VVF) causes continuous and unremitting urinary incontinence leading to damage of vulva and thighs. VVF also linked to social marginalization, divorce, absence of sexual intercourse, loss of fertility, and depression. This condition often found in developing country. Surgical correction is the main treatment of VVF. The study objective is to determine the incidence rate of VVF surgical correction (January 2012–July 2017) and its outcome-associated factors.

Methods: This retrospective study enrolled patients who undergone fistula surgical correction during the period. Secondary data was obtained from medical records and surgery report documents. Age, parity, body mass index (BMI), etiology of fistula, history of prior surgical correction, type of surgical correction, location of VVF (low, median, high), and other gynecologic condition was collected for further analyses.

Results: There were 19 subjects involved in this study. The mean age was 45.5 ± 10 years old with BMI 24.7 ± 4.3 kg/m2. Abdominal hysterectomy, became the most common etiology of VVF (57.9%), followed by obstetrical causes in 26.3% subjects. There were 4 subjects underwent second repair, one due to trauma and the others due to post-partum condition. Only one subject had persistent VVF after surgical correction. There was no surgical complication found.

Conclusion: The most common cause of VVF was abdominal hysterectomy. The success rate of surgical correction was high. There were no surgical complication.


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