Clinical effects of transvaginal vesicovaginal fistula repair surgery mediated by the Foley catheter (64 cases).

摘要

OBJECTIVE: To investigate the clinical effects and superiority of transvaginal vesicovaginal fistula (VVF) repair surgery mediated by the Foley catheter. PATIENTS AND METHODS: We retrospectively reviewed the case notes of 129 patients with vesicovaginal fistulas who received surgery in our hospital; 68 patients received VVF repair surgery mediated by the Foley catheter (modified group), and 61 patients received traditional transvaginal VVF repair surgery (traditional group). RESULTS: The success rate of the primary operation, mean operation time, mean intraoperative blood loss, mean postoperative hospitalization time, and rate of patients with postoperative urine leakage were significantly different between the modified group and traditional group. However, the mean bladder capacity, postoperative recovery time of self-miction, and postoperative wound infection rate were not significantly different between the groups. CONCLUSIONS: Transvaginal VVF repair surgery mediated by the Foley catheter had a higher success rate, shorter operation time, less blood loss and sooner recovery time postoperatively. Therefore, it should be applied in clinics generally.