Obstetric Fistula Repair Through Transvaginal Approach: The Experience in DMCH

Bipul Kumar Biswas; Sabrin Farhad; Monoroma Sarkar; Joyonto Kumar Das

doi:doi:10.11648/j.jgo.20221002.23

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Obstetric Fistula Repair Through Transvaginal Approach: The Experience in DMCH

Bipul Kumar Biswas, Sabrin Farhad, Monoroma Sarkar, Joyonto Kumar Das

Published in Journal of Gynecology and Obstetrics (Volume 10, Issue 2)

Received: 12 March 2022 Accepted: 6 April 2022 Published: 26 April 2022

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Abstract

Background: Vesicovaginal fistula (VVF) is an abnormal fistulous tract extending between the bladder and the vagina that allows the continuous involuntary discharge of urine into the vaginal vault. The successful closure depends on many factors, although the majority of genitourinary fistulas can be closed surgically. Aim of the study: The aim of the study was to find out the outcome of obstetric fistula repair through a transvaginal approach. Methods: This prospective observational study was conducted in the Department of Gynecology & Obstetrics, Dhaka Medical College Hospital Dhaka, Bangladesh from June 2006 to May 2007. A total of 30 women with VVF difficulties who were admitted to the hospital were recruited as the study population. To repair the obstetrics fistula of women, the transvaginal surgical procedure was followed. For data analysis, statistical software SPSS version 22.0. All data were presented in mean values. The results were presented in tables, figures. The observations were recorded as statistically significant (p-value <0.05). Results: Postoperative complications were not found in 28 (93.3%) cases and no information was found in 2 (6.7%). Duration of retaining catheter (days) <10 in 1 (3.3%), 10-15 in 19 (63.3%), 16-21 in 8 (26.7%) and no information found in 2 (6.7%). Total length of stay (week) was 3-4 week in 13 (43.3%), 5-8 week in 10 (33.3%), 9-12 in 3 (10.0%), 13-24 in 4 (13.4%). The patient developed stress incontinence in 8 (26.7%) and no information was found in 22 (73.3%). 20 (66.7%) cases resulted successfully, Stress incontinence was found in 3 (10.0%), failed VVF in 1 (3.3%), Failed RVF in 6 (20.0%). The reason for failure was 2 (6.7%) bad cases and no information was found in 28 (93.3%). Conclusion: The transvaginal approach is less invasive and achieves comparable success rates as compared to other methods of VVF repair. Genital fistula repair surgery with Foley catheter has a high success rate, reduced morbidity, minimal blood loss, and short tome hospital stay.

Published in	Journal of Gynecology and Obstetrics (Volume 10, Issue 2)
DOI	10.11648/j.jgo.20221002.23
Page(s)	144-151
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Fistula, Obstetric, Transvaginal

References

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[2]	Hilton P. Vesicovaginal fistulas in developing countries. Int J Gynecol Obstet 2003; 82: 285-95.
[3]	Hilton P. Obstetric fistulae. In: Cardozo L, Straskin D, editors. Textbook of female urology and urogynaecology. London: Isis Medical Media; 2001. p. 691-719.
[4]	Rovner ES. Urinary fistulae. In Hanno PM, Wein AJ, Malkowicz SB. Clinical manual of urology, 3rd ed. New York (NY): McGraw-Hill Professional, 2001: 323-36.
[5]	Menefee SA, Wall, LL. Incontinence, prolapse, and disorders of the pelvic floor. In Berek J. Novak’s gynecology, 13th ed. Philadelphia (PA): Lippincott Williams & Wilkins, 2002: 645-710.
[6]	Wall LL, Arrowsmith SD, Briggs ND, Lassey A. Urinary incontinence in the developing world: the obstetric fistula. Proceedings of the Second International Consultation on Urinary Incontinence, Paris. 2001 Jul 1: 1-67.
[7]	United Nations Population Fund and EngenderHealth. Obstetric fistula needs assessment report: Findings from nine African countries. New York (NY): United Nations Population Fund and Engender Health, 2003.
[8]	Arrowsmith S, Hamlin EC, Wall LL. Obstructed labor injury complex: Obstetric fistula formation and the multifaceted morbidity of maternal birth trauma in the developing world. Obstet Gynecol Surv 1996; 51: 568-74.
[9]	Elkins TE. Surgery for the obstetric vesicovaginal fistula: A review of 100 operations in 82 patients. Am J ObstetGynecol 1994; 170: 1106-20.
[10]	Cron J. Lessons from the developing world: Obstructed labor and the vesicovaginal fistula. MedGenMed [Internet] 2003. [cited June 2004] Available from: http://www.medscape.com/viewarticle/ 455965_3.
[11]	Program examples. Reproductive Health Outlook [Internet] 2003. [cited June 2004] Available from: www.rho.org/html/older_progexamples.htm#ethiopia.
[12]	Blaivas JG, Heritz DM, Romanzi LJ. Early versus late repair of vesicovaginal fistulas: vaginal and abdominal approaches. J Urol. 1995 Apr; 153 (4): 1110-2.
[13]	Dalela D, Goel A, Shakhwar SN, Singh KM. Vesical calculi with unrepaired vesicovaginal fistula: a clinical appraisal of an uncommon association. J Urol. 2003 Dec; 170 (6 Pt 1): 2206-8.
[14]	Nesrallah LJ, Srougi M, Gittes RF. The O’Conor technique: the gold standard for supratrigonalvesicovaginal fistula repair [PubMed]. J Urol. 1999 Feb; 161 (2): 566-8.
[15]	Otsuka RA, Amaro JL, Tanaka MT, Epacagnan E, Mendes JB Jr, Kawano PR, et al. Laparoscopic repair of vesicovaginal fistula. J Endourol. 2008 Mar; 22 (3): 525-7.
[16]	Sundaram BM, Kalidasan G, Hemal AK. Robotic repair of vesicovaginal fistula: case series of five patients. Urology. 2006 May; 67 (5): 970-3.
[17]	Rovner ES (Wein J, Kavoussi LR, Novick AC, Partin AW, Peters CA, editors). “Urinary tract fistula,” in Campbell-Walsh Urology. 9th ed. Philadelphia, Pa, USA: Saunders; 2007. pp. 2323-40.
[18]	Frohmüller H, Hofmockel G. [Transvaginal closure of vesicovaginal fistulas]. Urologe A. 1998 Jan; 37 (1): 70-4.
[19]	Hodges AM. The Mitrofanoff urinary diversion for complex vesicovaginal fistulae: experience from Uganda. BJU Int. 1999 Sep; 84 (4): 436-9.
[20]	Raz S, Bregg KJ, Nitti VW, Sussman E. Transvaginal repair of vesicovaginal fistula using a peritoneal flap. J Urol. 1993 Jul; 150 (1): 56-9.
[21]	Rajamaheswari N, Chhikara AB, Seethalakshmi K, Bail A, Agarwal S. Transvaginal repair of gynecological supra trigonal vesicovaginal fistulae: A worthy option! Urol Ann. 2012 Sep; 4 (3): 154-7.

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APA Style

Bipul Kumar Biswas, Sabrin Farhad, Monoroma Sarkar, Joyonto Kumar Das. (2022). Obstetric Fistula Repair Through Transvaginal Approach: The Experience in DMCH. Journal of Gynecology and Obstetrics, 10(2), 144-151. https://doi.org/10.11648/j.jgo.20221002.23

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ACS Style

Bipul Kumar Biswas; Sabrin Farhad; Monoroma Sarkar; Joyonto Kumar Das. Obstetric Fistula Repair Through Transvaginal Approach: The Experience in DMCH. J. Gynecol. Obstet. 2022, 10(2), 144-151. doi: 10.11648/j.jgo.20221002.23

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AMA Style

Bipul Kumar Biswas, Sabrin Farhad, Monoroma Sarkar, Joyonto Kumar Das. Obstetric Fistula Repair Through Transvaginal Approach: The Experience in DMCH. J Gynecol Obstet. 2022;10(2):144-151. doi: 10.11648/j.jgo.20221002.23

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@article{10.11648/j.jgo.20221002.23,
  author = {Bipul Kumar Biswas and Sabrin Farhad and Monoroma Sarkar and Joyonto Kumar Das},
  title = {Obstetric Fistula Repair Through Transvaginal Approach: The Experience in DMCH},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {10},
  number = {2},
  pages = {144-151},
  doi = {10.11648/j.jgo.20221002.23},
  url = {https://doi.org/10.11648/j.jgo.20221002.23},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20221002.23},
  abstract = {Background: Vesicovaginal fistula (VVF) is an abnormal fistulous tract extending between the bladder and the vagina that allows the continuous involuntary discharge of urine into the vaginal vault. The successful closure depends on many factors, although the majority of genitourinary fistulas can be closed surgically. Aim of the study: The aim of the study was to find out the outcome of obstetric fistula repair through a transvaginal approach. Methods: This prospective observational study was conducted in the Department of Gynecology & Obstetrics, Dhaka Medical College Hospital Dhaka, Bangladesh from June 2006 to May 2007. A total of 30 women with VVF difficulties who were admitted to the hospital were recruited as the study population. To repair the obstetrics fistula of women, the transvaginal surgical procedure was followed. For data analysis, statistical software SPSS version 22.0. All data were presented in mean values. The results were presented in tables, figures. The observations were recorded as statistically significant (p-value <0.05). Results: Postoperative complications were not found in 28 (93.3%) cases and no information was found in 2 (6.7%). Duration of retaining catheter (days) <10 in 1 (3.3%), 10-15 in 19 (63.3%), 16-21 in 8 (26.7%) and no information found in 2 (6.7%). Total length of stay (week) was 3-4 week in 13 (43.3%), 5-8 week in 10 (33.3%), 9-12 in 3 (10.0%), 13-24 in 4 (13.4%). The patient developed stress incontinence in 8 (26.7%) and no information was found in 22 (73.3%). 20 (66.7%) cases resulted successfully, Stress incontinence was found in 3 (10.0%), failed VVF in 1 (3.3%), Failed RVF in 6 (20.0%). The reason for failure was 2 (6.7%) bad cases and no information was found in 28 (93.3%). Conclusion: The transvaginal approach is less invasive and achieves comparable success rates as compared to other methods of VVF repair. Genital fistula repair surgery with Foley catheter has a high success rate, reduced morbidity, minimal blood loss, and short tome hospital stay.},
 year = {2022}
}

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TY  - JOUR
T1  - Obstetric Fistula Repair Through Transvaginal Approach: The Experience in DMCH
AU  - Bipul Kumar Biswas
AU  - Sabrin Farhad
AU  - Monoroma Sarkar
AU  - Joyonto Kumar Das
Y1  - 2022/04/26
PY  - 2022
N1  - https://doi.org/10.11648/j.jgo.20221002.23
DO  - 10.11648/j.jgo.20221002.23
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
SP  - 144
EP  - 151
PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20221002.23
AB  - Background: Vesicovaginal fistula (VVF) is an abnormal fistulous tract extending between the bladder and the vagina that allows the continuous involuntary discharge of urine into the vaginal vault. The successful closure depends on many factors, although the majority of genitourinary fistulas can be closed surgically. Aim of the study: The aim of the study was to find out the outcome of obstetric fistula repair through a transvaginal approach. Methods: This prospective observational study was conducted in the Department of Gynecology & Obstetrics, Dhaka Medical College Hospital Dhaka, Bangladesh from June 2006 to May 2007. A total of 30 women with VVF difficulties who were admitted to the hospital were recruited as the study population. To repair the obstetrics fistula of women, the transvaginal surgical procedure was followed. For data analysis, statistical software SPSS version 22.0. All data were presented in mean values. The results were presented in tables, figures. The observations were recorded as statistically significant (p-value <0.05). Results: Postoperative complications were not found in 28 (93.3%) cases and no information was found in 2 (6.7%). Duration of retaining catheter (days) <10 in 1 (3.3%), 10-15 in 19 (63.3%), 16-21 in 8 (26.7%) and no information found in 2 (6.7%). Total length of stay (week) was 3-4 week in 13 (43.3%), 5-8 week in 10 (33.3%), 9-12 in 3 (10.0%), 13-24 in 4 (13.4%). The patient developed stress incontinence in 8 (26.7%) and no information was found in 22 (73.3%). 20 (66.7%) cases resulted successfully, Stress incontinence was found in 3 (10.0%), failed VVF in 1 (3.3%), Failed RVF in 6 (20.0%). The reason for failure was 2 (6.7%) bad cases and no information was found in 28 (93.3%). Conclusion: The transvaginal approach is less invasive and achieves comparable success rates as compared to other methods of VVF repair. Genital fistula repair surgery with Foley catheter has a high success rate, reduced morbidity, minimal blood loss, and short tome hospital stay.
VL  - 10
IS  - 2
ER  -

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Author Information

Bipul Kumar Biswas

Department of Gynecology & Obstetrics, Kustia Medical College Hospital, Kustia, Bangladesh
Sabrin Farhad

Department of Gynecology & Obstetrics, Uttara Adhunik Medical College and Hospital, Dhaka, Bangladesh
Monoroma Sarkar

Department of Gynecology & Obstetrics, Kustia Medical College Hospital, Kustia, Bangladesh
Joyonto Kumar Das

Department of Gynecology & Obstetrics, Khulna Medical College Hospital, Khulna, Bangladesh

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Plain Text BibTeX RIS

APA Style

Bipul Kumar Biswas, Sabrin Farhad, Monoroma Sarkar, Joyonto Kumar Das. (2022). Obstetric Fistula Repair Through Transvaginal Approach: The Experience in DMCH. Journal of Gynecology and Obstetrics, 10(2), 144-151. https://doi.org/10.11648/j.jgo.20221002.23

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ACS Style

Bipul Kumar Biswas; Sabrin Farhad; Monoroma Sarkar; Joyonto Kumar Das. Obstetric Fistula Repair Through Transvaginal Approach: The Experience in DMCH. J. Gynecol. Obstet. 2022, 10(2), 144-151. doi: 10.11648/j.jgo.20221002.23

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AMA Style

Bipul Kumar Biswas, Sabrin Farhad, Monoroma Sarkar, Joyonto Kumar Das. Obstetric Fistula Repair Through Transvaginal Approach: The Experience in DMCH. J Gynecol Obstet. 2022;10(2):144-151. doi: 10.11648/j.jgo.20221002.23

Copy | Download

@article{10.11648/j.jgo.20221002.23,
  author = {Bipul Kumar Biswas and Sabrin Farhad and Monoroma Sarkar and Joyonto Kumar Das},
  title = {Obstetric Fistula Repair Through Transvaginal Approach: The Experience in DMCH},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {10},
  number = {2},
  pages = {144-151},
  doi = {10.11648/j.jgo.20221002.23},
  url = {https://doi.org/10.11648/j.jgo.20221002.23},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20221002.23},
  abstract = {Background: Vesicovaginal fistula (VVF) is an abnormal fistulous tract extending between the bladder and the vagina that allows the continuous involuntary discharge of urine into the vaginal vault. The successful closure depends on many factors, although the majority of genitourinary fistulas can be closed surgically. Aim of the study: The aim of the study was to find out the outcome of obstetric fistula repair through a transvaginal approach. Methods: This prospective observational study was conducted in the Department of Gynecology & Obstetrics, Dhaka Medical College Hospital Dhaka, Bangladesh from June 2006 to May 2007. A total of 30 women with VVF difficulties who were admitted to the hospital were recruited as the study population. To repair the obstetrics fistula of women, the transvaginal surgical procedure was followed. For data analysis, statistical software SPSS version 22.0. All data were presented in mean values. The results were presented in tables, figures. The observations were recorded as statistically significant (p-value <0.05). Results: Postoperative complications were not found in 28 (93.3%) cases and no information was found in 2 (6.7%). Duration of retaining catheter (days) <10 in 1 (3.3%), 10-15 in 19 (63.3%), 16-21 in 8 (26.7%) and no information found in 2 (6.7%). Total length of stay (week) was 3-4 week in 13 (43.3%), 5-8 week in 10 (33.3%), 9-12 in 3 (10.0%), 13-24 in 4 (13.4%). The patient developed stress incontinence in 8 (26.7%) and no information was found in 22 (73.3%). 20 (66.7%) cases resulted successfully, Stress incontinence was found in 3 (10.0%), failed VVF in 1 (3.3%), Failed RVF in 6 (20.0%). The reason for failure was 2 (6.7%) bad cases and no information was found in 28 (93.3%). Conclusion: The transvaginal approach is less invasive and achieves comparable success rates as compared to other methods of VVF repair. Genital fistula repair surgery with Foley catheter has a high success rate, reduced morbidity, minimal blood loss, and short tome hospital stay.},
 year = {2022}
}

Copy | Download

TY  - JOUR
T1  - Obstetric Fistula Repair Through Transvaginal Approach: The Experience in DMCH
AU  - Bipul Kumar Biswas
AU  - Sabrin Farhad
AU  - Monoroma Sarkar
AU  - Joyonto Kumar Das
Y1  - 2022/04/26
PY  - 2022
N1  - https://doi.org/10.11648/j.jgo.20221002.23
DO  - 10.11648/j.jgo.20221002.23
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
SP  - 144
EP  - 151
PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20221002.23
AB  - Background: Vesicovaginal fistula (VVF) is an abnormal fistulous tract extending between the bladder and the vagina that allows the continuous involuntary discharge of urine into the vaginal vault. The successful closure depends on many factors, although the majority of genitourinary fistulas can be closed surgically. Aim of the study: The aim of the study was to find out the outcome of obstetric fistula repair through a transvaginal approach. Methods: This prospective observational study was conducted in the Department of Gynecology & Obstetrics, Dhaka Medical College Hospital Dhaka, Bangladesh from June 2006 to May 2007. A total of 30 women with VVF difficulties who were admitted to the hospital were recruited as the study population. To repair the obstetrics fistula of women, the transvaginal surgical procedure was followed. For data analysis, statistical software SPSS version 22.0. All data were presented in mean values. The results were presented in tables, figures. The observations were recorded as statistically significant (p-value <0.05). Results: Postoperative complications were not found in 28 (93.3%) cases and no information was found in 2 (6.7%). Duration of retaining catheter (days) <10 in 1 (3.3%), 10-15 in 19 (63.3%), 16-21 in 8 (26.7%) and no information found in 2 (6.7%). Total length of stay (week) was 3-4 week in 13 (43.3%), 5-8 week in 10 (33.3%), 9-12 in 3 (10.0%), 13-24 in 4 (13.4%). The patient developed stress incontinence in 8 (26.7%) and no information was found in 22 (73.3%). 20 (66.7%) cases resulted successfully, Stress incontinence was found in 3 (10.0%), failed VVF in 1 (3.3%), Failed RVF in 6 (20.0%). The reason for failure was 2 (6.7%) bad cases and no information was found in 28 (93.3%). Conclusion: The transvaginal approach is less invasive and achieves comparable success rates as compared to other methods of VVF repair. Genital fistula repair surgery with Foley catheter has a high success rate, reduced morbidity, minimal blood loss, and short tome hospital stay.
VL  - 10
IS  - 2
ER  -

Copy | Download