Objective: To determine prevalence, etiological factors and surgical outcome of women with genitourinary fistulae attending Isra University Hospital Hyderabad.
Methodology: This descriptive case series study was done at Department of Obstetrics & Gynecology, Isra University Hospital Hyderabad from December 2011 to 2012 and included women with confirmed genitourinary fistulae. A pre designed proforma was used to collect the information about demographic profile, etiological factors and surgical outcome. Statistical analysis was performed using SPSS version 16.
Results: There were total 850 gynecological admissions and 52 registered cases of genitourinary fistulae. Mean age of patients was 31.5±7 (range 2-54) years, and mean parity was 4.2±2.8 (Range 0-15). There were 25 obstetrical, 23 iatrogenic, one traumatic, two neurogenic and one congenital fistula. The most common type of fistula was vesico vaginal. Surgical repair was carried out successfully by simple layered closure in 39 women. Ureteric stenting was performed in two patients and three healed on conservative management. Six patients were applied mesh; two were of uterine closure. There was no mortality. The success rate was 85% at first attempt, rising to 96% at 3rd attempt.
Conclusion: Genito urinary fistulae were not a common finding in Hyderabad. Majority were successfully repaired by vaginal route by simple layered closure. There is abrupt rise in iatrogenic type of genitourinary fistulae in recent years, which indicates inadequate training of junior doctors regarding gynecological surgeries
Key words: VVF , Obstructed labor, Genitourinary fistula
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