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.
Results
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%.
Conclusions
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%.
Article info
Identification
Copyright
© 2009 European Association of Urology. Published by Elsevier Inc. All rights reserved.
