Repair of vesico-vaginal fistula by using omental flap

Fourteen patients of vesico-vaginal fistula of more then 2 cm, of high type, were treated by transperitoneal trans-vesical approach with extensive dissection and omental flaps over a period of 4 years. Their age ranged from 20 to 76 years. 78.5 percent patients belonged to younger age group [20-40 years] with history of long duration and neglected labour. Three cases were already operated for repair of vesico-vaginal fistulae once or twice trans-vaginally and failure was reported within three months after repair. The success rate of this series is 93%. Out of fourteen repairs only one failure was recorded in one of the recurrent cases, who was diabetic, had renal stone and persistent urinary tract infection