Laparoscopic Vesico-Vaginal Fistula Repair

VESICO VAGINAL FISTULA REPAIR

VESICO VAGINAL FISTULA REPAIR

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Laparoscopic Repair Of Vesicovaginal Fistula

A vesicovaginal fistula is an abnormal connection between the urinary tract and vagina.

VESICO VAGINAL FISTULA REPAIR

Why is it important?

This type of fistula causes uncontrolled leakage of urine through the vagina. It can also be painful and increase the risk of infection. However, Laparoscopic repair will close the fistula to stop symptoms.

Possible complications

Problems with this process are rare, but all procedures carry some risk. Your doctor will check for potential problems, such as:

  • Urinary tract infection or other infection
  • Vulvar irritation or inflammation (vaginal opening)
  • Any injury to the bladder, vagina, or urethra (the tube that carries urine out of the bladder)
  • Bleeding
  • Adverse reactions to anesthesia

The following persons may be at higher risk for problems:

  • You have a chronic disease such as diabetes or obesity.
  • Smoking
  • Drinking

The risk of fistula repair problems may also be higher incase of patients with

  • Anticoagulant Drugs
  • Large Or Complex Fistula

VESICO VAGINAL FISTULA REPAIR

What can you expect from Laparoscopic Repair of the Vesicovaginal Fistula?

Before surgery

Discuss your medicines with your doctor. You may be asked to stop taking certain medications for the week before surgery.

Other things to consider before surgery:

  • Take the earliest appointment for better health.
  • If your doctor tells you to avoid particular food or drink 6 to 8 hours before surgery.
  • Anesthesia makes you sleep during the procedure.

Complete Procedure Description

Surgery can be done through vaginal or abdominal incisions. The endoscope can also be passed through the urethra into the bladder.

Through Vaginal

In this method, a little tube is inserted into the urethra. The doctor will find the fistula when a speculum is used to spread the vagina. The wall of the fistula will be cut open. The area will then be stitched. Special dressings can be placed on the vagina.

Through the abdomen

In this procedure, a tiny incision is made to insert telescope. Additionally, we will find the fistula. The lining of the fistula will be cut open and removed. Above all, the tissue will be moved to separate the urinary tract and vagina. The walls of the vagina and urinary tract will then be closed.

Immediately after surgery

There may be a tube in the urethra to drain the bladder(catheter) for 3 weeks.

VESICO VAGINAL FISTULA REPAIR

Advantages of Laparoscopic Repair of Vesicovaginal Fistula

  • Shorter hospital stay. If the procedure is more complicated, it will take one to three hours or more.
  • Anesthesia can prevent pain during surgery. Pain and discomfort after surgery can be managed with medication.
  • The procedure takes place in a hospital. The usual length of stay is 1-2 days.

VESICO VAGINAL FISTULA REPAIR

Postoperative care

In hospital

After surgery, hospital staff can:

  • Supervise you while recovering from anesthesia.
  • Help him gradually start eating and moving.
  • Give him medicine for pain.
  • Be careful with the catheter. The catheter may be in place for several weeks.

At home

It is necessary to avoid any activity until the area has healed.

Standard Treatment for vesicovaginal fistula

For early-stage fistula that are small and not cancerous, conservative treatment is about 93 percent effective. These can also help the fistula close spontaneously. These treatments may include:

Catheters; to help to manage symptoms and allow healing may be placed for 2 to 6 weeks, and drugs called anticholinergics are used to help stop specific involuntary muscle movements.

Electrocoagulation. 

The procedure is no longer considered first-line treatment but uses heat generated by electrical currents to remove the lining of tissue called the mucosa surrounding the VVF. The catheter will be inserted and left for 2 to 4 weeks while it heals.

Surgical repair may be performed if conservative treatment fails or is not feasible. Surgical repair of ventricular fibrillation factor is more than 97% efficient. The most popular yet effective types of surgery which we used are: 

Laparoscopy.

Laparoscopic surgery is an alternative to open surgery. The surgery is done through a small incision or incision using a tiny camera and a small tube called a catheter.

Robots In robotic surgery, the doctor is assisted but requires robotic instruments.

During vaginal surgery, the surgery is performed through the vagina. A common type of this surgery is called a Latzko repair.

However, this procedure involves making an incision in the abdomen.

Urethroscopic examination. This procedure involves repairing the fistula through the urethra.

During fistula repair surgery, the opening through which urine seeps into the vagina is closed to prevent incontinence. Additional procedures may be required if there is any damage to the bladder.

VESICO VAGINAL FISTULA REPAIR

Call us anytime for the best assistance

It is essential to monitor your recovery after discharge. Tell your doctor any questions right away. Call us immediately if any of the following occur:

  • Increased pressure or pain
  • Redness, pain, bleeding, or bleeding at or around the wound
  • Changes in frequent urination, smell, appearance, or the amount of urine
  • Inability to urinate
  • Signs of infection (fever/ chills)
  • Too much blood in the urine

If you think you have an emergency, get medical help right away.

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VESICO VAGINAL FISTULA REPAIR

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