Formation of vesicovaginal fistula: the role of suture placement into the bladder during closure of the vaginal cuff after transabdominal hysterectomy

Article Abstract:

Leakage of urine into the vagina following abdominal hysterectomy may not be caused by bladder stitches. A vesicovaginal fistula, or opening between the bladder and vagina, may develop in a small number of patients after hysterectomy. Some doctors believe that placement of sutures into the bladder may cause these leaks to form. Researchers performed hysterectomies on 32 rabbits, and deliberately sutured through the bladder in 21 animals. In the 28 days following surgery, no rabbit developed a vesicovaginal fistula. Other aspects of the surgery may relate to fistula formation.

Causes of, Complications and side effects, Hysterectomy

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The obstetric vesicovaginal fistula: characteristics of 899 patients from Jos, Nigeria

Article Abstract:

The characteristics of women with obstetric vesicovaginal fistulas in north central Nigeria are discussed. The result indicates a total of 899 cases of fistula were associated temporally with labor, and involves multiple biologic and socioeconomic factors that appears to predispose young women to this devastating childbirth injury.

United States, Science & research, Research, Methods, Case studies, Injuries, Childbirth, Delivery (Childbirth), Obstetrics, Obstetrical surgery

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