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Vesicovaginal Fistula Repair

Surgical correction of the abnormal connection between the bladder and vagina.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Üroloji department. Book Appointment →

What is Vesicovaginal Fistula Repair?

Vesicovaginal fistula (VVF) is an abnormal connection between the bladder and vagina. In developed countries, the most common cause is pelvic surgery (hysterectomy 80-90%); in developing countries, prolonged labor.

Continuous vaginal urinary leakage is the characteristic symptom. Diagnosis uses cystoscopy, vaginal examination, the methylene blue test, and CT/MR urography.

Surgical repair can be performed transvaginally (O'Conor technique), transabdominally, or laparoscopically/robotically. An interposition flap (omentum, Martius flap) increases the success rate.

Symptoms

Continuous vaginal urinary leakage
Recurrent vaginal infection
Perineal skin irritation
Urinary leakage starting in the early postoperative period
Psychosocial distress

Risk Factors

Repair failure (5-15%)
Bleeding and hematoma
Urinary infection
Ureteral injury (during repair)
Vaginal shortening

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • If continuous vaginal urinary leakage starts after surgery
  • If recurrent vaginal infection and discharge occur
  • If leakage continues after fistula repair
  • If late vaginal leakage develops after radiotherapy

Treatment Methods

01
Transvaginal fistula repair (Latzko or layered closure)
02
Transabdominal/robotic repair (in supratrigonal fistulas)
03
Martius flap interposition (in vaginal approach)
04
Omental flap interposition (in abdominal approach)
05
Long-term postoperative catheter drainage (2-3 weeks)

Which Department to Visit?

You can visit our Üroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.