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Original ArticleOpen Access
Vesico-Vaginal Fistula : Experience of 230 Cases
Kochakarn W 
,
Ratana0arn K ,
Viseshsindh V ,
Muangman V ,
Gojaseni P
,
Ratana0arn K ,
Viseshsindh V ,
Muangman V ,
Gojaseni P We reviewed 230 cases of vesico-vaginal fistula in Ramathibodi Hospital from 1969 to
1997. The cases of fistula included 164 cases after transabdominal hysterectomies, 5 cases after
anterior colporrhaphies, 8 cases after radical hysterectomy, 23 cases after vaginal hysterectomy,
10 cases after prolonged or traumatic birth, 9 cases after radiation for cervical carcinoma, 7
cases of cervical cancer invasion, 2 cases after suprapubic cystolithotomy and 2 cases after pelvic
fracture. Most of them were referred from other hospitals.
In 7 cases, the fistula closed spontaneously after indwelling urethral catheters for 4-6
weeks. Five cases were cured after transurethral fulgurations. The rest were treated with different
surgical procedures i.e. transvaginal, transvesical and retrovesical repairs.
Ten cases were treated by urinary diversions, usually after failure using other surgical
procedures.
Key word : Vesicovaginal Fistula, Surgical Treatment
1997. The cases of fistula included 164 cases after transabdominal hysterectomies, 5 cases after
anterior colporrhaphies, 8 cases after radical hysterectomy, 23 cases after vaginal hysterectomy,
10 cases after prolonged or traumatic birth, 9 cases after radiation for cervical carcinoma, 7
cases of cervical cancer invasion, 2 cases after suprapubic cystolithotomy and 2 cases after pelvic
fracture. Most of them were referred from other hospitals.
In 7 cases, the fistula closed spontaneously after indwelling urethral catheters for 4-6
weeks. Five cases were cured after transurethral fulgurations. The rest were treated with different
surgical procedures i.e. transvaginal, transvesical and retrovesical repairs.
Ten cases were treated by urinary diversions, usually after failure using other surgical
procedures.
Key word : Vesicovaginal Fistula, Surgical Treatment
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