Repair of Vesico-Vaginal Fistula
|The Urinary Tract|
|Copyright © Nucleus Medical Media, Inc.|
Reasons for Procedure
- Urinary tract infection or other infections
- Irritation or inflammation of the vulva (the opening of the vagina)
- Injury to bladder, vagina, or urethra (the tube that carries urine outside of the body from the bladder)
- Adverse reaction to anesthesia (eg, low blood pressure, wheezing)
- Chronic disease such as diabetes or obesity
- Taking blood-thinning medicines
- Having a fistula that is large or complex
What to Expect
Prior to Procedure
- Do a physical exam
- Order blood and urine tests
- Order imaging tests
- Do a cystoscopy (an examination of the bladder using a special lighted scope)
- Talk to you about the type of anesthesia that will be used and the potential risks
- Aspirin and other nonsteroidal anti-inflammatory drugs (eg, ibuprofen, naproxen)
- Blood-thinning drugs, such as warfarin (Coumadin)
- Anti-platelet drugs, such as clopidogrel (Plavix)
- Arrange for a ride home from the hospital.
- If instructed by your doctor, avoid food or drinks for 6-8 hours before the procedure.
Description of the Procedure
Immediately After Procedure
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- 1-2 days for a simple repair
- 3-5 days for a complex repair
- Monitor you while you recover from the anesthesia.
- Help you gradually begin to eat and move around.
- Give you pain medicine.
- Take care of your catheter. The catheter will likely be in place for several weeks.
- Washing their hands
- Wearing gloves or masks
- Keeping your incisions covered
- Washing your hands often and reminding visitors and healthcare providers to do the same
- Reminding your healthcare providers to wear gloves or masks
- Not allowing others to touch your incisions
- Take medicines to treat pain and bladder spasms and to reduce infection.
- Avoid lifting heavy objects and doing strenuous activity for several weeks.
- Drink plenty of fluids (eg, 8-10 glasses per day).
- Do not have sexual intercouse until your doctor tells you that it is safe to do so.
- Ask your doctor when it is safe to shower, bathe, or soak in water.
- Be sure to follow your doctor’s instructions.
Call Your Doctor
- Increasing pressure or pain
- Redness, soreness, bleeding, or discharge at or around the incision site
- Changes in frequency, odor, appearance, or amount of urine
- Inability to urinate
- Signs of infection, including fever or chills
- Excess blood in urine (Small amounts are normal.)
American Academy of Family Physicians http://www.aafp.org/
American Congress of Obstetricians and Gynecologists http://www.acog.org/
Health Canada http://www.hc-sc.gc.ca/index-eng.php/
The Society of Obstetricians and Gynaecologists of Canada http://www.sogc.org/index%5Fe.asp/
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: http://www.ayubmed.edu.pk/JAMC/PAST/20-2/Nasreen.pdf . 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. 2010;20(1):13-15.
- Reviewer: Andrea Chisholm
- Review Date: 12/2013 -
- Update Date: 00/12/2014 -