Vesicovaginal Fistula Coexisting With Bladder Stone among Previously Repaired Obstetric Fistula Patients

Vesicovaginal Fistula Coexisting With Bladder Stone

  • Nasir Sadiya National Obstetric Fistula Centre, Babbar Ruga, Katsina.
  • Aliyu Muhammad El-Ladan National Obstetric Fistula Centre, Babbar Ruga, Katsina.
Keywords: Vesicovaginal fistula, Bladder stone, Patients characteristic and Outcome

Abstract

Background: Vesicovaginal fistula commonly caused by prolonged obstructed labour is one of the most debilitating complications of childbirth. The occurrence of bladder stones is uncommon among women with vesicovaginal fistula as a result of continuous leakage of urine. The aim of this study is to determine the prevalence of bladder stone coexisting with vesicovaginal fistula, the patients characteristics and the repair outcome of vesicovaginal fistula at the National Obstetric fistula Centre, Babbar Ruga, Katsina. Subjects and Methods: This was a three-year retrospective review of all cases that were managed for vesicovaginal fistula coexisting with bladder stone at the National Obstetric Fistula Centre, Babbar Ruga, Katsina from 1st Jan, 2015 to 31st Dec, 2017. Results: The prevalence of vesicovaginal fistula coexisting with bladder stone was found to be 1.63%. The ages of the patients ranged from 25 years to 63 years with a mean age of 45.29 9.64 years. The mean duration of leakage was 19.58 8.18 years and the fistula was as a result of prolonged obstructed labour in all the patients. Most (82.4%) of the patients had 2 or more previous vesicovaginal fistula repair with two (11.8%) having 1 previous removal of bladder stone while one had 2 previous stone removal through the vaginal route. Diagnosis was clinical in all the patients using uterine sound to sound the bladder. The stone size ranged from 2cm to 10cm in its widest diameter. More than half (64.7%) of the patients were  found to have severe vaginal scarring. Removal of the stone and repair of the fistula was done at the same sitting through the vaginal route in 82.4% of the patients. At discharge 10 (58.8%) of the patients were healed and continent of urine. Conclusion: The prevalence of vesicovaginal fistula was found to be 1.63% with the majority of the patients having two or more previous vesicovaginal fistula repair. There was no statistically significant difference (p=0.735) in outcome between the patients that had same sitting repair and those that had delayed repair of their fistula.

Downloads

Download data is not yet available.
Published
2019-01-20
How to Cite
Sadiya, N., & El-Ladan, A. M. (2019). Vesicovaginal Fistula Coexisting With Bladder Stone among Previously Repaired Obstetric Fistula Patients. Asian Journal of Medical Research, 7(4), OG04-OG07. Retrieved from https://aijournals.com/index.php/ajmr/article/view/441
Section
Obstetrics & Gynaecology