Journal of South Asian Federation of Obstetrics and Gynaecology

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VOLUME 10 , ISSUE 4S2 ( October-December, 2018 ) > List of Articles

Original Article

Will Modified O'Connor Technique Suffice for All Types of Vesicovaginal Fistula?: Postobstetric and Gynecological Procedure

Venkat Gite, Anitha J Kandi, Sachin M Bote, Jayant V Nikose, Hitesh M Jain

Keywords : Obstetric fistula, O Connor repair, Omental flap, Posthysterectomy fistula, Vesicoperitoneal fistula, Vesicovaginal fistula

Citation Information : Gite V, Kandi AJ, Bote SM, Nikose JV, Jain HM. Will Modified O'Connor Technique Suffice for All Types of Vesicovaginal Fistula?: Postobstetric and Gynecological Procedure. J South Asian Feder Obs Gynae 2018; 10 (4S2):365-370.

DOI: 10.5005/jp-journals-10006-1626

License: CC BY-NC 4.0

Published Online: 01-06-2019

Copyright Statement:  Copyright © 2018; The Author(s).


Aim: Aim of our study is to demonstrate that modified O'Connor's technique is possible and feasible for all types of postobstetric and gynecological procedures vesicovaginal fistula (VVF). Materials and methods: The study of 38 patients includes 34 primary and four recurrent (operated primarily elsewhere) type of VVF treated by modified O'Connor technique with omental flap interposition between January 2009 to June 2016 by a single surgeon. Patients were followed postoperatively at 3 weeks, 3 monthly for 6 months and later depending on symptoms. Results: Common age group in our study between 30 years and 40 years (50%). Twenty-eight patients had simple fistula while 10 had a complex fistula. Fistula size ranges from 5 mm to 4 cm with the most common size ranges between 1 cm and 3 cm (28 patients). Thirty-three patients had a single fistula and 5 had two fistulae includes one patient of asymptomatic vesicoperitoneal fistula. The most common cause of fistula was posthysterectomy, for benign diseases (25 cases). the most common site was supratrigonal (28 cases) and in 10 cases involving either trigone or infratrigonal area. All patients were dry following catheter removal. The success rate of the technique was 100%. There was no perioperative complication except one patient had mild stress urinary incontinence (SUI), one had recurrent urinary tract infection and three had storage lower urinary tract symptoms (LUTS). Conclusion: Modified O'Connor repair is safe and gives excellent functional results in postobstetrics and gynecological procedures related to VVF. Selection of technique should depend on experience and preference of surgeon which gives maximum success rate. Summary: Is one approach sufficient for all types of VVF following postobstetric and gynecological cause?

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