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Year : 1986  |  Volume : 2  |  Issue : 2  |  Page : 63-68

Integrated surgical approach for repair of vesicovaginal fistula.


Department of Urology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry

Correspondence Address:
S Kumar
Department of Urology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry

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Source of Support: None, Conflict of Interest: None


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On one urological service, vaginal, abdominal and abdominovaginal approaches as well as electrocauterization were used selectively, based on certain criteria obtained by a combined vaginal and cystourethroscopic assessment, for surgical management of 41 patients with vesicovaginal fistulae in a series of total 60 cases. Of the remaining 19 patients, 17 were deemed unfit for surgical closure of fistula because of malignancy being the cause of fistula (10 cases) or poor general condition (7 cases), one patient declined operative treatment and another underwent ileal conduit diversion due to extremely small capacity, fibrosed bladder. Employment of intergrated surgical approach helped to attract cases with all types of vesicovaginal fistulae to our department and enabled their management in the best possible manner. Selection of various modalities of surgical treatment is discussed in relation to various aspects of the vesicovaginalfistuale.


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