Ultra-short bladder decompression in repaired vesico-vaginal fistulas (VVFs)
Journal Title: Indian Obstetrics & Gynaecology - Year 2016, Vol 6, Issue 1
Abstract
Purpose: To get rid of the morbidities incurred with prolonged use of trans urethral Foley catheter, supra-pubic Malecot catheter and intra-abdominal pelvic drain by doing ultra short decompression of bladder for three days using solitary wide bore 16 F Foley catheter in selected patients of repaired vesico vaginal fistulas (VVFs). Material and Methods: Five non-obese, medically fit and physically active women, aged between 35 and 40 years, presented with 3-15 years history of continuous leakage of urine per-vaginam after hysterectomies in four cases, prolonged and obstructed delivery in one case. All were counseled and consented for ultra short bladder decompression. Transabdominal transvesical repair was done in four patients and trans vaginal repair in one. Circum-dissection of fistula upto two centimeters was followed by tension free separate closure of bladder and vagina at right angle to each other in two layers, inner continuous and outer interrupted sutures using 2-0 vicryl on round bodied needle. Water tight closure of bladder was confirmed on operation table. Vigilant post-operative care was provided to all patients to ensure uninterrupted bladder decompression for first 72 hours and maintenance of adequate hydration. Once patients became fully active and ambulatory, the Foley catheter was removed and patients were advised to evacuate bladder every two hours without any straining. Results: All the patients had uneventful postoperative recovery and were fully continent at three months of follow-up. Conclusions: Ultra short bladder decompression would prevent various tubes and catheters related morbidities.
Authors and Affiliations
Dr . R B Singh, Dr K Singh, Dr S Nanda, Dr. S Dalal
Keywords
Related Articles
- EP ID EP456990
- DOI -
- Views 106
- Downloads 0
TRANSABDOMINAL CERCLAGE AND PERINATAL OUTCOMES —A FIVE YEARS RETROSPECTIVE STUDY
Background: Transabdominal placement of a cervical cerclage appears to be safe and effective procedure in reducing pregnancy loss in selected patients with cervical incompetence. It can be placed almost at the internal o...
Study of Vitamin B12 Deficiency in Pregnancy and its Impact on the Maternal and Foetal Outcome
Vitamin B12 deficiency in reproductive age of women poses a vast impact on their obstetric profile. This deficiency is frequently found but not sought for in our patients routinely. The simple test of measurement of thes...
OVARIAN RESERVE
Ovarian reserve determines the functional potential of ovary and reflects the quantity and quality of oocytes within it. As the number of in vitro fertilization (IVF) pregnancies is on the rise, it has become imperative f...
IODINE DEFICIENCY IN PREGNANCY
Iodine is an essential nutrient required for the biosynthesis of thyroid hormones thyroxine (T4) and triiodothyronine (T3),which are responsible for regulating growth, development and metabolism. For many people, the maj...
Reproductive Hormones in Pathophysiology of Fibromyalgia Syndrome
Fibromyalgia syndrome (FMS) is a chronic, non-inflammatory pain syndrome characterized by diffuse myalgia and tenderness. Fibromyalgia is typically associated with sleep disturbance, fatigue, anxiety, depression, and mor...