Vesicovaginal Fistula Surgery In India At Affordable Cost

What is Vesicovaginal Fistula ?

Vesicovaginal Fistula is an abnormal opening between the urinary bladder and vagina that results in continuous, involuntary dribbling (incontinence) of urine from the vagina.....

What causes Vesicovaginal Fistula ?

The foremost cause of Vesicovaginal Fistula is difficult and unattended deliveries. Another cause of Vesicovaginal Fistula is injury during gynecologic surgery like hysterectomy where there is extensive dissection between the bladder and the uterus, unrecognized bladder laceration, inappropriate stitch placement, and / or devascularization injury to the tissues.....

What are the types of Vesicovaginal Fistula ?

Depending on the location, cause, complexity, or site of obstruction,

Vesicovaginal Fistula can be classified as : -

A  ]    Simple Vesicovaginal Fistula :- In this type of Vesicovaginal Fistula, the length of vagina is normal, fistula is less than 2 cm long and there is no history of radiation or vagina/cervical malignancy. Simple Vesicovaginal Fistula is quite straight forward to repair.....

B  ]    Complex Vesicovaginal Fistula : - In this type, vaginal length is shortened, there is history of pelvic malignancy which may have resulted in radiation therapy and is the fistula is more than 3 cm long. The repair of Complex Vesicovaginal Fistula is quite complicated and can pose a challenge to the surgeon.....

How is Vesicovaginal Fistula treated ?

The goal of surgical repair of Vesicovaginal Fistula include adequate exposure, good homeostasis, wide mobilization of the bladder and vagina, resection of devascularized tissue and removal of foreign body, tension free closure, non-opposition of suture lines, and confirmation of a water tight seal on bladder closure, and postoperative bladder drainage for 10-14 days with the help of a foley's catheter.......

Vesicovaginal Fistula can either be treated by : -

A  ]    Vaginal approach for the surgical repair of Vesicovaginal Fistula

In transvaginal approach for surgical repair of Vesicovaginal Fistula, the tissues of vaginal wall are dissected and the fistula tract in the bladder mucosa is stitched with absorbable sutures to close.....

B  ]    Abdominal approach for the surgical repair of Vesicovaginal Fistula

In transabdominal approach, an infraumbilical incision is made which is carried down into the peritoneal cavity. This method is used for the surgical repair of complex Vesicovaginal Fistula that may be large or small but multiple in number.....

How do I prepare for the surgical repair of Vesicovaginal Fistula ?

Ask your doctor about any special instructions to prepare for the surgical repair of Vesicovaginal Fistula. Since all medical procedure have a small risk of injury, e.g. injury to ureter or rectum, you will need to sign a consent form before the test. Do not hesitate to ask your doctor about any concerns you might have. You may be asked to give a urine sample before the test to check for infection. Avoid urinating for an hour before this part of the test......

Results

Surgery to repair Vesicovaginal Fistula is quite successful. The success rate of repairing a Vesicovaginal Fistula is 90 - 95%. For repair of complex Vesicovaginal Fistula, the success rate is less than 90%, but, for experienced surgeons, the outcome remains highly successful......

Benefits

In addition to the medical benefit from the repair of Vesicovaginal Fistula, you will also experience a profound effect on the your emotional well-being. The offensiveness from incontinence of urine can result in social alienation, ostrasization and immense emotional trauma. Surgical repair of Vesicovaginal Fistula can help you once again become part of the mainstream population......

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