Management of Complex Urogenital Fistulae in the Female

ABSTRACT

Objective: To present our experience in the management of complex genitourinary fistulae in the female. Patients and Methods: Between 1995 and 2004; 12 female patients with a mean age of 30 (range 6 - 40) years were managed in our department for various types of complex genitourinary fistulae caused by difficult labor in 6 cases; abdominal hysterectomy in 5 cases and car accident in one case. All patients were subjected to clinical; radiological and endoscopic examination. The fistulae were managed by open surgery. The procedures were individualized according to the existing pathology and included bladder augmentation and construction of a bladder tube. Results: The fistulae were repaired successfully and socially acceptable continence was achieved in all patients. Conclusion: Through urological evaluation of complex urinary fistulae is recommen- ded. The treatment should be individualized based on the existing pathology and may include bladder augmentation and construction of a bladder tube