Surgical management of vesicovaginal fistulas according to Chassar Moir's method.

Aside from the more common perioperative and postoperative dysfunctions of micturition, urogenital fistulas represent the most frequent complication encountered after surgical gynecologic interventions. Vesicovaginal fistulas are the most common communication between efferent urinary passages and the genital tract. From 1967 to 1987, 42 women had a vesicovaginal fistula develop after abdominal or vaginal operations and underwent another operation. At admission, all 42 patients had surgical closure of the vesicovaginal fistula according to the vaginal method of Moir. In 41 women, continence was re-established by adequate closure.