DOI: 10.36347/sjams.2022.v10i06.002

Pages: 872-876

Background: Vesico-vaginal fistula is a chronic health condition when abnormal connection between bladder and vagina is seen and causes constant dribbling of urine through vagina. Uretero-vaginal fistula (UVF) defines an abnormal communication between the ureter and vagina which causes urinary incontinence, frequent infection, and discomfort. Methods: This observational longitudinal study was conducted in between 2005- April 2022, at the department of Obstetrics and Gynae in Rajshahi Medical College Hospital, Rajshahi, Bangladesh. The total sample size for this study was 503. Result: Most of the patients 127(25.25%) were between the age of 26-35 years, 125(24.86%) were between the age of 36-45 years, 116(23.06%) were between the age of 46-55 years, 79(15.70%) patients were more than 55 years & remaining 56(11.13%) were between the age of 15-25 years. Regarding the etiology of fistulas, most of the fistulas were following TAH 199(39.56%), 174(34.59%) following obstructed labor, 43(8.55%) following LUCS, 31(6.17%) following corrosive application, 19(3.78%) following malignancy, 18 (3.58%) following Trauma, 8(1.59%) following VH, and others 11(2.18%). Among 503 patients, 423 (84.09%) were Vesico vaginal fistula (VVF), 52 (10.35%) were Rectovaginal fistula (RVF), 21 (4.18%) were Ureterovaginal fistula (UVF), 4 (0.79%) were Vesico uterine fistula and 3 (0.59%) were Vesicocervical fistula. Out of 503 patients, operation was performed in 330 patients. Remaining 173 patients, 95(18.88%) were conservatively treated and 78(15.50%) were referred to higher centre. Repair of fistulas was done in vaginal route 244(74%) and abdominal route were 86(26%). Operation was successful 293(88.79%) and was failed in 37(11.21%). Conclusion: In the past, VVF, UVF and RVF were thought to be the incurable problem but with advanced surgical practice, availability of good suture material and antibiotics it can be cured surgically. There is increased incidence of post-surgical fistula and .......