Female genito-urinary fistulae

ABSTRACT

During the period from 1987 until 1989, twenty-eight female patients with genito-urinary fistulae were seen at King Abdulaziz University Hospital, 78.6% of which were of obstetrical etiology. Thirteen patients had small fistulae [< 2cm] and fifteen patients had large fistulae [> 2cm], nine of which were considered to be giant fistulae [> 5cm]. The patients' age, parity, nationality and duration of their fistulae are presented. Our experience of repairing twenty-four fistulae showed that the cure rate was higher in small fistulae [90.9%] compared to large fistulae [69.2%]. The cure rate was also found to be higher in patients who underwent the abdomino-vaginal approach [71.4-100%], compared to those who underwent the vaginal approach [66.7-83.3%]