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Dr.Niraj Mahajan
Dr.Niraj Mahajan
Dr.Niraj Mahajan

VVF REPAIR

What is VVF Repair?

  • VVF (Vesicovaginal fistula) is a type of female urogenital fistula.
  • The Vesicovaginal Fistula is an abnormal fistulous tract connecting the bladder and the vagina, that causes involuntary discharge of urine in to the vaginal region.
  • They often have an adverse effect on the patient's emotional health.

Diagnosis

  • A dye is injected intravenously and if it appears in the vagina, the fistula is confirmed
  • Fluid in the vaginal vault is examined for any changes in its composition and any anomalies
  • A full vaginal inspection is carried out

Treatment

Treatment of VVF is done in two ways; conservative, or surgical.

  • In conservative procedure, if VVF is diagnosed within a few days after any pelvic surgery, a transurethral catheter is placed and maintained for around 30 days.
  • Small fistulas (< 1 cm) may decrease during this period if proper caution is taken to ensure continuous drainage from the catheter.
  • The surgical procedure is used quite rarely to resolve the fistula
  • In a surgical procedure, the fistula is blocked by using implants or clips.
  • This helps to avoid involuntary discharge of urine

Procedure

  • The site of the fistula is first determined using various diagnostic methods
  • Depending on the site, the doctor may introduce a laparoscope and micro instruments through the vagina, or through small incisions in the abdominal wall
  • The implants or clips are then placed at the site of the fistula to block it
  • The entire surgery is performed with the patient under the effect of a local or a general anesthetic

Follow up

  • Antibiotics may be prescribed to prevent infection at the site of the fistula
  • Proper drainage of the bladder is essential, through the catheter
  • The patient is kept under observation for a while after the surgery
  • After getting discharge from the hospital, the patient is advised to not resume with physically strenuous activities immediately
  • Any abnormal discharge or bleeding from the vagina should be immediately reported to the doctor

"Authored By Dr.Niraj Mahajan"

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Dr. Niraj Mahajan

MD- Gynecologist, Laparoscopic Surgeon, Uro-gynecologist , Infertility specialist & Cosmetic Gynecologist.

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