Early transbdominal trans peritoneal omental flap repair for vescovaginal sistula

Abstract EN

Aim of the study : To evaluate patients selection for early of vesicovaginal fistula by transbdaminal trans peritoneal approach with omental flap interposition .

Patients and methods : twenty four female patients with vesicovaginal fistula underwent repair by transabdminal trans peritoneal approach in Al-Hilla Teaching hospital department of urology between 2000-2006 their ages between 23-45 years, the cause of the fistula was cesarean section in 20 patients (83.8%) and 4 patients (16.2%) the cause was hysterectomy .

Results : The indications for cesarean section were midwife interference in 16 patients, were rupture uterus identified, other indications were placenta previa 2 patients, fetal distress 1 patient and previous cesarean section in 1 patient, while the indications for hysterectomy were dysfunctional uterine bleeding in 3 patients and big uterine fibroid in 1 patient .

Overall success rate were 22 patients (88.3%) had successful repair with only 2 patients (11.7%) were failed.

Conclusion : Early repair of vesicovaginal by the transabdominal transperitoneal omental flap give good results in patient with first time fistula and no vaginal infection present and inflammatory process at fistula site has resolved.