AI Article Synopsis
- Sixteen patients developed urinary tract fistulas (14 vesicovaginal and 2 ureterovaginal) after undergoing simple abdominal hysterectomies over a span of 17 years.
- The majority of vesicovaginal fistulas were successfully treated using a transvesical technique, which was deemed both comfortable and effective.
- While closure of the fistula typically occurred more than four weeks post-diagnosis, earlier repair could provide similar outcomes and prevent ongoing hygiene issues; one patient achieved spontaneous closure after conservative treatment with a urinary catheter.
Article Abstract
Sixteen patients with urinary tract fistulas (14 vesicovaginal and two ureterovaginal) following simple abdominal hysterectomy were treated over a period of 17 years. Most vesicovaginal fistulas were treated by a transvesical technique, which proved to be a comfortable and successful method in our hands. Closure of the fistula followed usually more than four weeks after diagnosis. Earlier repair, which has been forwarded as an alternative therapy, might give equally good results and would save the patient from the severe hygienic problem of continuous urinary leakage. Conservative treatment with an indwelling urinary catheter led to spontaneous closure of the fistula in one patient. Two ureterovaginal fistulas were corrected by an anti-reflux ureteroneocystostomy.
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