Department of Urology, King George’s Medical University,Lucknow, India
Research
Genitourinary Fistula Repair and the Factors Affecting Its Outcomes: 15years Experience from a Tertiary Care Centre
Author(s): Pavan Kumar*, Gyanendra singh, Deepa Aggarwal and Mayank Jain
Background: 474 patients who underwent genitourinary fistula repair at a tertiary centre were retrospectively analyzed, to determine the factors affecting the outcome of surgery.
Methods: A retrospective analysis was carried out on 474 patients who underwent transabdominal, transvaginal and laparoscopic repair in the last 15years at our institute. The mean (SD) age was 36 year; 49% of the VVF occurred after abdominal hysterectomy, 32% after obstructed labour and 19% after Caesarean section. Twenty-nine (6.11%) had a previous failed repair operated elsewhere.
Results: Out of 474 VVF, 68 cases had more than one fistula on urethrocystoscopy. Transabdominal repair was done in 245 patients, transvaginal repair in 156, total laparoscopic procedure was attempted in 49 and conservative approach in 24patients. The average d.. View More»
DOI:
10.35248/2332 2594.23.13(9).527