Objective: To evaluate the outcome of surgical repair in patients with vesico-vaginal fistula at Cipto Mangunkusumo Hospital. Material & Method: A retrospective study of 30 patients with vesico-vaginal fistula, who underwent surgical repair of the fistula at Urology Department Cipto Mangunkusumo Hospital between the period of 1998-2008, were reviewed. Patients were analyzed with regard to age, location of fistula, etiology, size of fistula, and surgical approach. The outcome of the surgery was analyzed. Results: This study included 30 patients who underwent surgery with age between 18-69 years old. The most common etiology was due to obstetrical trauma and hysterectomy. Bladder trigone was the most common location of fistulae (40%). During the surgery the transvesical (43%) approach was commonly used. However, the most excellent outcome was surgery by transvesical-transvaginal approach (100%). Success rate of fistula repair was 73%. Conclusion: This disease is a medically and psychosocially devastating condition for the patient. The diagnosis was easy but complicated in decision of treatment. Best results were observed by transvesical-transvaginal approach. Keywords: Vesico-vaginal fistulae, surgical approach, surgical outcome.
Becker HD, Stenzl A, Wallwiener D. In: Urinary and Faecal Incontinence. Berlin: Springer-Verlag; 2005. p. 369-84.
Nawaz H, Khan M, Tareen FM. Retrospective study of 213 cases of female urogenital fistulae at the Department of Urology & Transplantation Civil Hospital Quetta: Pakistan. J Pak Med Assoc. 2010; 60: 28-32.
Rasool M, Tabassum SA, Mumtaz F. Vesico-vaginal fistula repair: Urologist experience at Bahawalpur. Professional Med J Sep. 2006; 13(3): 445-52.
Angioli R, Penalver M, Muzii L. Guideline of how to manage vesico-vaginal fistula. Critical Review in Oncology Hematology. 2003; 48; 295-304.
Milicic D, Sprem M, Bagovic D. A method for repair of vesico-vaginal fistulas. International Journal of Gynecology & Obstetric. 2001; 73: 35-9.
Mondet F, Emmanuel J, Kastler C. Anatomic and functional result of transperitoneal-transvesical vesicovaginal fistula repair. Urology. 2001; 58(6): 882-6.
Sadiq G, Sadiq M, Sultana N. Obstetric trauma is the commonest cause of urogenital fistulae. Rawal Med Journal. 2008; 33: 197-200.
Kam MH, Tan YH, Wong MY. A 12-year experience in the surgical management of vesico-vaginal fistulae. Singapore Med Journal. 2003; 44(4): 181-4.
Elber KS, Kavaler E, Rodriguez LV. Ten-year experience with transvaginal vesico-vaginal fistula repair using tissue interposition. The Journal of Urology. 2003; 169: 1033-6.
Wein AJ, Kavoussi LR, Andrew CN. Urogynecologic fistula. Campbell’s Urology. 9th ed. Philadelphia: Saunders; 2007.
Elber, Schlunt K, Kavaler. Ten year experience with transvaginal fistula repair using tissue interposition. Journal Urology. 2003; 169(3): 1033-6.