In support of early treatment of postoperative vesicovaginal fistulas

Alexander Tsivian, Georgy Uchvatkin, Avraham Shtricker*, Yacov Yacobi, Alexander Kurenkov, A. Ami Sidi

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review


OBJECTIVE: The timing of surgery and the surgical approach of choice for vesicovaginal fistulas (VVFs) are matters of continuing debate. We review our experience with early treatment of postoperative VVFs. METHODS: From 1988 to 2003, 26 patients aged 18 to 70 years (mean, 47.7 years) underwent early reconstructive surgery in our departments for VVFs that had all been caused by previous pelvic surgery. RESULTS: The reconstructive surgery was carried out within the first 2 months (mean, 41 days; range, 5 days to 8 weeks) after the initial surgical procedure. The repair was accomplished by a transvaginal approach in 19 cases, by an extraperitoneal transvesical approach in 5, and by a combination of transvesical and transvaginal approaches in 2. Follow up was at least 1 year. The VVFs were successfully corrected in all 26 cases. CONCLUSIONS: VVFs resulting from pelvic surgery can be successfully managed by early repair, thus sparing the patient considerable distress and inconvenience.

Original languageEnglish
Pages (from-to)197-200
Number of pages4
JournalJournal of Pelvic Medicine and Surgery
Issue number4
StatePublished - Jul 2006


  • Corrective surgery
  • Transvaginal
  • Transvesical
  • Vesicovaginal fistula


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