• Genital Fistula A Case Series Report from A Teaching Hospital In Roraima, Brazil

      Objectives: Genital fistula is one of the most debilitating conditions affecting females in developing countries and occurs as a result of obstructed labor or gynecological surgeries. The objective of this study was to review the cases of genital fistulae at a teaching hospital in Roraima, Brazil. Methods: Sixteen cases of genital fistulae were treated over a period of six years from 2008 to 2013. These included 15 cases of genitourinary fistulae (vesicovaginal fistula (VVF) = 14, ureterovaginal fistula (UVF) = 1) and one rectovaginal fistula (RVF). Results: The most common cause of fistula formation was total abdominal hysterectomy for the treatment of uterine fibroids (13/16, 81%). The VVFs were all supratrigonal in location and measured from 0.3 to 0.6 cm in length. Fifty percent of the VVFs (7/14) were treated using the transvaginal approach (Latzko’s method), while 36% (5/14) were treated via the transabdominal route. The remaining two VVFs (14%) were treated conservatively using the endoscopic cauterization method. Conclusions: An overall success rate of 100% was observed of which 75% (12/16) were successfully repaired at the first attempt. Follow-up period ranged from seven months to six years and no further complications were noted. Download