Castro AFJ, Lelevier-De Doig AH, Murillo LJ, Magaña OD, Peña GGM, Medina GAR, Godoy RN, Heusinkvel JM

Language: Spanish
References: 21
Page: 203-209
PDF size: 251.19 Kb.

ABSTRACT

Objective: To determine the causes and treatment of vesicovaginal fistulas in patients treated at the Urogynecology Department of a tertiary care hospital.
Materials and Methods: This was a retrospective, descriptive study of cases of vesicovaginal fistula treated at the Women's Hospital in Culiacán, Sinaloa, between January 1 and December 31, 2023. Qualitative variables were analyzed to yield frequencies, and quantitative variables were analyzed to yield means and medians. All analyses were performed using Stata Intercooled version 13.1 (College Station, TX).
Results: A total of 4,687 electronic patient records from the study period were analyzed. Of these, 2,380 (50.77%) were treated via delivery, 2,188 (46.68%) via C-section, and 119 (2.53%) via hysterectomy. Six patients were diagnosed with vesicovaginal fistula secondary to a gynecological or obstetric procedure, with a frequency of 1.28 per 1,000 procedures. Fistulectomy was performed on average after 79.5 ± 33.37 days, and cystoscopy was used to establish the diagnosis in all cases. The most common surgical approach was abdominal (5 of 6 patients); only one was vaginal. Only one patient required reoperation due to continued transvaginal urine leakage.
Conclusions: The main cause of vesicovaginal fistula is hysterectomy for benign reasons. Abdominal access is preferred for treatment.

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