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.
- 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 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
- 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
- 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"