Poster Session 8: Trauma and reconstruction| Volume 8, ISSUE 8, P649, September 2009

S126 Our experience in treating 27 genito-urinary fistulas during 2002–2008 in regional Shkodra hospital, Albania

      Introduction and Objectives

      To study the etiology and therapeutic aspect of genito-urinary fistulas in the population of North of Albania.

      Material and Methods

      This is a retrospective study analysis the genito-urinary fistulas in our hospital during years 2002–2008. The main outcomes analyzed for 27 patients were etiology, surgical approaches, needs for tissue interposition and cure rate.


      We treated 27 patients, 16 patients as a consequence of difficult hysterectomy, 7 patients because of obstructed labor, 2 patients as a result of trauma and 2 patients because of irradiation. In 60% of cases we realized via transvaginal using Martiuz flap. In one of these cases with total missing of urethral wall we used the TVT to control postoperative incontinence. In other cases we used transabdominal approach using omental flap. In one case of uretero-vaginal fistula we dissected the ureter from vagina, repaired both organs and protected the suture line to ureter with a J stent. The total success rate was 85%.


      Genito-urinary fistulas as a social debilitating condition needs surgical treatment. In our society most of cases comes as a consequence of gynecologic surgery, but there are still cases as a result of obstructed labor. The % of repair is reasonably good 85%.