Repair of vesicovaginal fistula with transvaginal and abdominal technique: Pamukkale University Urology Clinic results

Kürşat Küçüker; Alper Şimşek; Mesut Berkan Duran; Salih Bütün; Sinan Çelen; Yusuf Özlülerden

Article Details

Repair of vesicovaginal fistula with transvaginal and abdominal technique: Pamukkale University Urology Clinic results

Authors:

Kürşat Küçüker | Alper Şimşek | Mesut Berkan Duran | Salih Bütün | Sinan Çelen | Yusuf Özlülerden

Publisher:

Pamukkale University

Main Topics:

Üroloji

Journal:

Pamukkale Tıp Dergisi Vol.17 Issue 2, pp.381-387

Document Type:

Article

Publication Date:

1/2024

Document Language:

English

Document ID (Org No.):

2001300683

pISSN:

1308-0865

Keywords:

Abstract:

 Purpose: Vesicovaginal fistula VVF is a pathological condition that causes urinary incontinence from a tract between the bladder and the vagina, negatively affecting the quality of life, social life, and patient health. The preferred method for VVF repair depends on the patients characteristics, the features of the fistula, and the surgeons experience. There is no definitive guideline for choosing between vaginal and abdominal VVF repair. This study aims to retrospectively evaluate VVF cases operated on in our clinic, comparing and interpreting patient characteristics and outcomes with the literature. Materials and methods: The data of 35 patients who underwent vaginal and abdominal VVF repair in our clinic were evaluated retrospectively. Results: Transvaginal repair was preferred in 23 65.7 of the patients and abdominal repair was preferred in 12 34.3. The success rate of VVF surgery performed in our clinic was determined to be 88.6. Success rates were similar; 91.4 in vaginal repair and 83.4 in abdominal repair. Recurrence was observed in 2 of 23 patients 8.6 who underwent transvaginal repair and in 2 of 12 patients 16.6 who underwent abdominal repair. Conclusion: In vesicovaginal fistula surgery, patient characteristics and fistula characteristics guide the preferred surgery. However, the surgeons experience also plays a big role. Vaginal and abdominal VVF surgeries are performed with similar high success rates.

 Purpose: Vesicovaginal fistula VVF is a pathological condition that causes urinary incontinence from a tract between the bladder and the vagina, negatively affecting the quality of life, social life, and patient health. The preferred method for VVF repair depends on the patients characteristics, the features of the fistula, and the surgeons experience. There is no definitive guideline for choosing between vaginal and abdominal VVF repair. This study aims to retrospectively evaluate VVF cases operated on in our clinic, comparing and interpreting patient characteristics and outcomes with the literature. Materials and methods: The data of 35 patients who underwent vaginal and abdominal VVF repair in our clinic were evaluated retrospectively. Results: Transvaginal repair was preferred in 23 65.7 of the patients and abdominal repair was preferred in 12 34.3. The success rate of VVF surgery performed in our clinic was determined to be 88.6. Success rates were similar; 91.4 in vaginal repair and 83.4 in abdominal repair. Recurrence was observed in 2 of 23 patients 8.6 who underwent transvaginal repair and in 2 of 12 patients 16.6 who underwent abdominal repair. Conclusion: In vesicovaginal fistula surgery, patient characteristics and fistula characteristics guide the preferred surgery. However, the surgeons experience also plays a big role. Vaginal and abdominal VVF surgeries are performed with similar high success rates.

 Purpose: Vesicovaginal fistula VVF is a pathological condition that causes urinary incontinence from a tract between the bladder and the vagina, negatively affecting the quality of life, social life, and patient health. The preferred method for VVF repair depends on the patients characteristics, the features of the fistula, and the surgeons experience. There is no definitive guideline for choosing between vaginal and abdominal VVF repair. This study aims to retrospectively evaluate VVF cases operated on in our clinic, comparing and interpreting patient characteristics and outcomes with the literature. Materials and methods: The data of 35 patients who underwent vaginal and abdominal VVF repair in our clinic were evaluated retrospectively. Results: Transvaginal repair was preferred in 23 65.7 of the patients and abdominal repair was preferred in 12 34.3. The success rate of VVF surgery performed in our clinic was determined to be 88.6. Success rates were similar; 91.4 in vaginal repair and 83.4 in abdominal repair. Recurrence was observed in 2 of 23 patients 8.6 who underwent transvaginal repair and in 2 of 12 patients 16.6 who underwent abdominal repair. Conclusion: In vesicovaginal fistula surgery, patient characteristics and fistula characteristics guide the preferred surgery. However, the surgeons experience also plays a big role. Vaginal and abdominal VVF surgeries are performed with similar high success rates.

 Amaç: Vezikovajinal fistül VVF, mesane ve vajina arasındaki bir trakttan idrar kaçırmaya sebep olan, yaşam kalitesini, sosyal hayatı ve hasta sağlığını olumsuz etkileyen patolojik bir durumdur. VVF onarımında tercih edilen yöntem hastanın, fistülün özelliklerine göre ve cerrahın deneyimine göre yapılmaktadır. Vajinal ve abdominal VVF onarımı tercihinde kesinleşmiş kılavuz bilgileri bulunmamaktadır. Bu çalışmada, kliniğimizde opere edilen VVF vakaları retrospektif olarak değerlendirilerek hasta özelliklerinin ve sonuçlarının literatür ile karşılaştırılarak yorumlanması amaçlanmaktadır. Gereç ve yöntem: Bu çalışmada kliniğimizde vajinal ve abdominal VVF onarımı yapılan 35 hastanın verileri retrospektif olarak değerlendirildi. Bulgular: Hastaların 12sinde 34,3 abdominal yöntem tercih edilirken 23 65,7 hastada transvajinal yöntem tercih edildi. Kliniğimizde uygulanan VVF cerrahisinin başarı oranı 88,6 olarak tespit edilmiştir. Vajinal onarımda 91,4, abdominal onarımda ise 83,4 olarak birbirine yakın başarı oranları görüldü. Transvajinal teknik tercih edilen 23 hastanın 2sinde 8,6 ve abdominal teknik tercih edilen 12 hastanın ise 2sinde 16,6 nüks izlendi. Sonuç: Vezikovajinal fistül cerrahisinde hastanın ve fistülün özellikleri tercih edilecek cerrahiye yön gösterse de özellikle cerrahın deneyimi büyük rol oynamaktadır. Vajinal ve abdominal VVF cerrahisi birbirine benzer ve yüksek başarı oranları ile uygulanmaktadır.

Article Details

Repair of vesicovaginal fistula with transvaginal and abdominal technique: Pamukkale University Urology Clinic results

Authors:

Kürşat Küçüker | Alper Şimşek | Mesut Berkan Duran | Salih Bütün | Sinan Çelen | Yusuf Özlülerden

Publisher:

Pamukkale University

Main Topics:

Üroloji

Journal:

Pamukkale Tıp Dergisi Vol.17 Issue 2, pp.381-387

Document Type:

Article

Publication Date:

1/2024

Document Language:

English

Document ID (Org No.):

2001300683

pISSN:

1308-0865

Vesicovaginal fistula

vaginal vesicovaginal fistula repair

abdominal vesicovaginal fistula repairVezikovajinal fistül

vajinal vezikovajinal fistül onarımı

abdominal vezikovajinal fistül onarımı

Issues

Article Details

Repair of vesicovaginal fistula with transvaginal and abdominal technique: Pamukkale University Urology Clinic results

Authors: Kürşat Küçüker | Alper Şimşek | Mesut Berkan Duran | Salih Bütün | Sinan Çelen | Yusuf Özlülerden

Publisher: Pamukkale University

Main Topics: Üroloji

Journal: Pamukkale Tıp Dergisi Vol.17 Issue 2, pp.381-387

Document Type: Article

Publication Date: 1/2024

Document Language: English

Document ID (Org No.): 2001300683

pISSN: 1308-0865

Vesicovaginal fistula

vaginal vesicovaginal fistula repair

abdominal vesicovaginal fistula repairVezikovajinal fistül

vajinal vezikovajinal fistül onarımı

abdominal vezikovajinal fistül onarımı

Issues

Authors:

Kürşat Küçüker | Alper Şimşek | Mesut Berkan Duran | Salih Bütün | Sinan Çelen | Yusuf Özlülerden

Publisher:

Pamukkale University

Main Topics:

Üroloji

Journal:

Pamukkale Tıp Dergisi Vol.17 Issue 2, pp.381-387

Document Type:

Article

Publication Date:

1/2024

Document Language:

English

Document ID (Org No.):

2001300683

pISSN:

1308-0865