Transabdominal Repair of Vesicovaginal Fistulae: A 10‑Year Tertiary Care Hospital Experience in Nigeria

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dc.contributor.authorOjewola, R.W.
dc.contributor.authorTijani, K.H.
dc.contributor.authorJeje, E.A.
dc.contributor.authorOgunjimi, M.A.
dc.contributor.authorAnimashaun, E.A.
dc.contributor.authorAkanmu, O.N.
dc.date.accessioned2020-02-24T08:02:47Z
dc.date.available2020-02-24T08:02:47Z
dc.date.issued2018-10
dc.descriptionStaff publicationsen_US
dc.description.abstractBackground: Vesicovaginal fistula (VVF) is still a major cause for concern in many developing countries. Arguments continue as to the best approach for repair. This study aimed to present our experience with transabdominal VVF repair. Subjects and Methods: This was a 10‑year retrospective review of transabdominal VVF repair. Important data extracted from the case notes included patients’ demography, aetiology, previous repair, operative findings, procedures and treatment outcome. Data were analysed using SPSS version 21. Bivariate analysis of factors affecting treatment outcome was carried out with the level of significance set at P < 0.05. Results: Fifty‑three VVF repairs were carried out in 51 patients. Mean age was 29.8 ± 15.4 years. Forty‑five (84.9%) had previous repairs. The aetiologies of VVFs were prolonged obstructed labour in 41 (80.4%) and post‑operative in 10 (19.6%). Forty‑one repairs were through a transperitoneal transvesical approach whereas 12 had an extraperitoneal transvesical approach. The fistulae diameter ranged from 0.3 to 2.8 cm with an average of 1.64 cm. Six had ureteric re‑implantation; (bilateral in two patients). Repair was successful in 47 (88.7%) cases, which translated to the overall success rate of 92.1% in the 51 patients treated. Success rate was higher (95.6%) for the subset of patients who had previous transvaginal repairs. Catheter blockage in the post‑operative period was a significant factor that had effect on outcome (P < 0.015). Conclusion: Transabdominal repair recorded an excellent result in patients who had previously failed transvaginal repairs and may be considered as the first option in these patients.en_US
dc.identifier.citationOjewola R.W., Tijani K.H., Jeje E.A., Ogunjimi M.A., Animashaun E.A., Akanmu O.N. Transabdominal repair of vesicovaginal fistulae: A 10‑year tertiary care hospital experience in Nigeria. Nigerian Postgrad Med J 2018;25:213-9.en_US
dc.identifier.other10.4103/npmj.npmj_154_18
dc.identifier.urihttps://ir.unilag.edu.ng/handle/123456789/7796
dc.language.isoenen_US
dc.publisherWolters Cluwer - Medknowen_US
dc.relation.ispartofseriesNigerian Postgrad Med J;Vol.25
dc.subjectRepairen_US
dc.subjectTransabdominalen_US
dc.subjectTransvaginalen_US
dc.subjectTreatment outcomeen_US
dc.subjectVesicovaginal fistulaen_US
dc.subjectResearch Subject Categories::MEDICINE::Surgeryen_US
dc.titleTransabdominal Repair of Vesicovaginal Fistulae: A 10‑Year Tertiary Care Hospital Experience in Nigeriaen_US
dc.typeArticleen_US
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