Changing trends in the etiology and management of vesicovaginal fistula. (1st August 2017)

• Record Type: Journal Article
• Authors: Malik, Muhammad A; Sohail, Muhammad; Malik, Muhammad TB; Khalid, Nauman; Akram, Adeen
• Is Part Of: International journal of urology. Volume 25:Number 1(2018)
• Page Start: 25
• Page End: 29
• Publication Date: 2017-08-01
• Subjects: gynecological trauma -- urogenital fistula vesicovaginal fistula -- vesicovaginal fistula management -- vesicovaginal fistula repair; Urology -- Periodicals; Genitourinary organs -- Periodicals; Urologic Diseases -- Periodicals; 616.6005
• DOI: 10.1111/iju.13419
• Languages: English
• ISSNs: 0919-8172

Abstract

Abstract: Vesicovaginal fistula has remained a scourge and of public health importance, causing significant morbidity, and psychological and social problems to the patient. Continuous wetness, odor and discomfort cause serious social issues. The diagnosis has been traditionally based on clinical evaluation, dye testing, cystoscopic examination and contrast studies. A successful repair of such fistulas requires an accurate diagnosis and timely surgical intervention using techniques that are based on basic surgical principles with or without the use of interpositional flaps. The method of repair depends on the type and location of the fistula, and the surgeon's training and expertise. The main complications are recurrence and stress/urge incontinence. Prevention must include universal education, improvement in the social and nutritional status of women, discouraging early marriages, and the provision of improved accessible healthcare services.