Mehmood Arshad, Alvi M Sarwar, Rana Shahid, Raziq Sohail, Siddiq Lubna, Shah M Yousaf
Armed Forces Institute of Urology, Rawalpindi, Pakistan.
J Ayub Med Coll Abbottabad. 2009 Jul-Sep;21(3):29-31.
Vesico-vaginal Fistula (VVF) is an abnormal communication between bladder and vagina that causes continuous discharge of urine in to vaginal vault. The objective of this study is to describe current trends of aetiology and repair of Vesico-vaginal Fistulae. This is a Descriptive Study, conducted at Armed Forces Institute of Urology, Rawalpindi and Combined Military Hospital, Kharian between May 2001 and May 2007.
All patients diagnosed as cases of vesico-vaginal fistulae were included in the study. Their demographic profile and repair success was determined.
A total of 86 patients were included in the study. The mean age of the patients was 35.5 years (range 25-46). Total abdominal hysterectomy was the most common cause (53% of the cases) followed by obstetric causes (43.92% of the cases). Success rate of the surgery in the study was 97.5%.
The common causes of vesico-vaginal fistula in this study were total abdominal hysterectomy and obstetric causes. The success rate was high, yet the attempt should be made to prevent this socially distressing condition.
膀胱阴道瘘（VVF）是膀胱与阴道之间的异常通道，导致尿液持续排入阴道穹窿。本研究的目的是描述膀胱阴道瘘的病因及修复的当前趋势。这是一项描述性研究，于2001年5月至2007年5月在拉瓦尔品第的武装部队泌尿学研究所和哈里扬的联合军事医院进行。
所有被诊断为膀胱阴道瘘病例的患者均纳入本研究。确定了他们的人口统计学特征和修复成功率。
本研究共纳入86例患者。患者的平均年龄为35.5岁（范围25 - 46岁）。全腹子宫切除术是最常见的病因（占病例的53%），其次是产科原因（占病例的43.92%）。本研究中手术成功率为97.5%。
本研究中膀胱阴道瘘的常见病因是全腹子宫切除术和产科原因。成功率较高，但仍应努力预防这种给社会带来困扰的疾病。
