Analysis of Vesicovaginal Fistulas in Tertiary Care Hospital: A Retrospective Study of 12 Years

Introduction: The earliest evidence of a Vvf was found in 1923, when Derry examined the mummified body of henhenit, a lady in the court of mentuhotep of the 11th dynasty who reigned around 2050 Bc [1] The urinary fistulas involving female genital tract result from complications of child birth, and pelvic diseases and their treatment. In developing countries like ours, obstetrical causes are the leading causes of Vvf. The anatomical proximity of the urinary and genital tracts predisposes the urinary tract to injury after difficult and traumatic deliveries as well as after difficult gynecological surgery.

Objectives: To determine the major causal factor of vesicovaginal fistula (Vvf) and the outcome of treatment.

Methods: This retrospective study was conducted from 1st January, 1994 to 31st December, 2006. At Vijayanagara Institute of Medical Sciences Bellary. Total number of patients included in the study was 40. They were analyzed with regard to age, parity, causal factor, mode of treatment, and the outcome.

Results: Obstetric complications were the leading causes of Vvf. Majority of the cases were treated surgically by layered method of closure vaginally. Success at primary attempt was 93.33%.

Conclusions: Vesicovaginal fistula mainly results from low level of intrapartum care and improperly conducted deliveries. Primary closure is successful in 93.33%.