[PDF][PDF] Bladder-only repair of vesicovaginal fistula: twelve years experience in South-eastern Nigeria
E Nwogu-Ikojo, C Chigbu… - Webmed Cen Obstet …, 2010 - academia.edu
E Nwogu-Ikojo, C Chigbu, G Iloabachie
Webmed Cen Obstet Gynaecol, 2010•academia.eduOBJECTIVE: The aim of this study is to review the outcome of repair of vesicovaginal fistula
in which only the bladder wall defects were repaired leaving the vaginal wall defects
unrepaired. METHOD: A review of the outcome of 87 bladder-only repair of vesicovaginal
fistulas done at the University of Nigeria Teaching Hospital, and Aghaeze Hospital, Enugu,
Nigeria, in a 12-year period from 1st January 1992 to December 31st 2004. RESULTS: 67
(74.7%) were juxtacervical, 13 (14.9%) Juxtaurethral and 9 (10.3%) midvaginal. Average …
in which only the bladder wall defects were repaired leaving the vaginal wall defects
unrepaired. METHOD: A review of the outcome of 87 bladder-only repair of vesicovaginal
fistulas done at the University of Nigeria Teaching Hospital, and Aghaeze Hospital, Enugu,
Nigeria, in a 12-year period from 1st January 1992 to December 31st 2004. RESULTS: 67
(74.7%) were juxtacervical, 13 (14.9%) Juxtaurethral and 9 (10.3%) midvaginal. Average …
Abstract
OBJECTIVE: The aim of this study is to review the outcome of repair of vesicovaginal fistula in which only the bladder wall defects were repaired leaving the vaginal wall defects unrepaired.
METHOD: A review of the outcome of 87 bladder-only repair of vesicovaginal fistulas done at the University of Nigeria Teaching Hospital, and Aghaeze Hospital, Enugu, Nigeria, in a 12-year period from 1st January 1992 to December 31st 2004.
RESULTS: 67 (74.7%) were juxtacervical, 13 (14.9%) Juxtaurethral and 9 (10.3%) midvaginal. Average fistula size was 2.3 cm. 76 (87.4%) were closed successfully at first repair and 11 failed. Nine of these were repaired successfully at second attempt. There was no case of urinary tract infection post repair and average hospital stay was 15.6 days.
CONCLUSION: The repair of only the bladder wall defect in the surgical management of vesicovaginal fistula has very good outcome.
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