An evaluation of the efficiency of different surgery techniques in the treatment of vesicovaginal fistulas – own experience

*Agnieszka Ledniowska¹, Grzegorz Ledniowski², Jarosław Karoń¹, Przemysław Karoń¹

Summary
Aim. An evaluation of the efficiency of different surgery techniques in the treatment of vesicovaginal fistulas, based on own experience.
Material and methods. In the years 2008-2012, at the Gynaecology-Maternity Ward of the Kędzierzyn-Koźle Public Hospital, 7 patients were operated on due to the development of primary and recurrent vesicovaginal fistulas after abdominal hysterectomy. The patients were operated on vaginally and the operation technique was matched to the location and the size of the fistula.
Results. In 6 patients, the vesicovaginal fistula was closed after only one operation. In 1 patient, a recurrence of the fistula was observed, so the patient needed further corrective surgery.
Conclusions. All of the patients were treated successfully. Both primary and recurrent fistulas can be successfully closed vaginally. Postoperative estrogen therapy in patients operated on vaginally precipitated the healing of postoperative lesions.

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