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Complications are rare. But, no procedure is completely free of risk. If you are planning to have vesico-vaginal fistula repair, your doctor will review a list of possible complications, which may include:
You will be prepared for surgery. IVs will be placed in your arm or hand for medicines and fluids.
The surgery can be done through the vagina or through an incision in the abdomen. You may also have a cystoscopy done during the procedure.
The doctor will insert a catheter (tube) into the urethra. A speculum will also be used to open the the vagina. The doctor will locate the fistula. The walls of fistula will be cut away. The fistula will be closed with sutures. Special dressings will be placed in the vagina.
A small incision will be made in the lower abdomen. Once the fistula is located, its lining will be cut and removed. The tissue will be manipulated so that there is no longer a connection between the urinary tract and the vagina. The vaginal wall and wall of the urinary tract will be repaired. The abdominal wall will be closed. Catheter tubes may be left in place after the procedure to help drain urine. The doctor may also place stents (a type of catheter) in the ureters.
Jatoi N, Jatoi N, Shaikh F, Ssirichand P. Key to successful vesico vaginal fistula repair: an experience of urogenital fistula surgeries and outcome at gynecological surgical camp 2005. Ayub Medical College website. Available at: ...(Click grey area to select URL) . Accessed August 19, 2010.
Rizvi S, Gupta R, Patel S, Trevidi A, Trevidi P, Modi P. Modified laparoscopic abdominal vesico-vaginal fistula repair.
J Laparoendoscopic and Advanced Surg.
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This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.