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Urogenital Fistulae in India: Results of a Retrospective Analysis

Venkatramani, Vivek MS; Shanmugasundaram, Rajaian MCh; Kekre, Nitin Sudhakar MS, DNB (Urol)

Female Pelvic Medicine & Reconstructive Surgery: January/February 2014 - Volume 20 - Issue 1 - p 14–18
doi: 10.1097/SPV.0000000000000040
Original Articles

Objective: To review our experience with urogenital fistulae with respect to etiology and management.

Design: Retrospective analysis of electronic records from January 2004 to June 2011.

Methods: A retrospective analysis of electronic records of all urogenital fistulae presenting to our institution from January 2004 to June 2011 was undertaken. Etiology, presentation, management, and outcome of these cases were noted and analyzed.

Results: A total of 210 cases were identified, with vesicovaginal fistulae being the most common. The etiology was predominantly gynecological (58.6%) with laparoscopic assisted hysterectomy seeming to play an increasingly important role. Success rates of more than 90% were achieved in all cases, even in complex fistulae. No factors predicting successful repair were identified. Laparoscopic repair was successful in well-selected cases.

Conclusions: The etiology of urogenital fistulae in India seems to be changing to one in line with developed countries. High success rates are possible even in complex cases.

This is a retrospective analysis of urogenital fistulae presenting to a tertiary referral center in southern India with a large fistulae practice. This is the second largest series from the Indian subcontinent, wherein we review the etiology, presentation and management of these fistulae.

From the Department of Urology, Christian Medical College, Vellore, India.

Reprints: Vivek Venkatramani, MS, Department of Urology, Christian Medical College, Vellore 632004, India. E-mail: docvivek@gmail.com.

Contribution to authorship: VV performed the data collection, analysis, literature review, and prepared the manuscript. RS performed data analysis and contributed to study design and revision of the manuscript for critical intellectual content. NSK contributed to study design and direction, interpretation of data, revision of the manuscript for critical intellectual content, and final approval of the draft.

No funding was received for this work.

The authors have declared they have no conflicts of interest.

© 2014 by Lippincott Williams & Wilkins