Vesicovaginal fistula: 20years of experience / 대한비뇨기과학회지

ABSTRACT

A clinical observation on the vesicovaginal fistula repair was done on 46 cases admitted to the Department of Urology, Keimyung University Hospital, during the period from 1971 through 1990. The incidence rare of recent 10 years has decreased in comparison with that of the previous 10 years without change of age distribution, size and location of vesicovaginal fistula. Success rate of vesivocaginal Fistula repair was 60%. 89% and 100% with suprapubic transvesical. transperitoneal transvesical and trensvaginal repair, respectively. Although the management of vesicovaginal fistula still remains controversial in regard to the timing of repair and type of approach, transvaginal approach has the distinct advantages of simplicity, ease and less morbidity. Transvaginal repair with jackknife position can be performed successfully by better exposure and easier access.