VVF / UVF Repair

What is it?

Vesicovaginal fistula (VVF) is the most common acquired fistula of the urinary tract and has been known since ancient times. This is an abnormal communication between the urinary bladder and vagina leading to continuous leakage of urine.

How it is done?

Treatment for VVF consists of both conservative and surgical management.

Conservative management: In case of small fistulas a trial of indwelling catheterization and anticholinergic medication for at least 2 to 3 weeks may be attempted with newly diagnosed VVF as spontaneous healing may result. This is especially applicable in those patients in whom the initial placement of the catheter immediately resolves the vaginal leakage. Fistulous tracks that remain open 3 weeks or more after adequate Foley drainage are unlikely to resolve without further intervention, especially those that appear completely epithelialized on examination.

Surgical management: Surgical management of VVF can be performed through various approaches namely vaginal or abdominal. The abdominal approach can be performed with open or laparoscopic approach.