Management of vesicovaginal fistulae: a multicenter analysis from the Fellows' Pelvic Research Network.
Management of vesicovaginal fistulae: a multicenter analysis from the Fellows' Pelvic Research Network.
- 2014
CONCLUSIONS: Most of VVF in this series was managed initially with surgery, with a 77.5% success rate. Of those treated conservatively, only 11.7% resolved. Surgery should be considered as the preferred approach to treat primary VVF. METHODS: This institutional review board-approved multicenter review included 12 academic centers. Cases were identified using International Classification of Diseases codes for VVF from July 2006 through June 2011. Data collected included demographics, VVF type (simple or complex), location and size, management, and postoperative outcomes. chi(2), Fisher exact, and Student t tests, and odds ratios were used to compare VVF management strategies and treatment outcomes. OBJECTIVES: Vesicovaginal fistulae (VVF) are the most commonly acquired fistulae of the urinary tract, but we lack a standardized algorithm for their management. The purpose of this multicenter study was to describe practice patterns and treatment outcomes of VVF in the United States. RESULTS: Two hundred twenty-six subjects were included. The mean age was 50 (14) years; mean body mass index was 29 (8) kg/m(2). Most were postmenopausal (53.0%), nonsmokers (59.5%), and white (71.4%). Benign gynecologic surgery was the cause for most VVF (76.2%). Most of VVF identified were simple (77.0%). Sixty (26.5%) VVF were initially managed conservatively with catheter drainage, of which 11.7% (7/60) resolved. Of the 166 VVF initially managed surgically, 77.5% resolved. In all, 219 subjects underwent surgical treatment and 83.1% of these were cured.
English
2151-8378
*Vesicovaginal Fistula/th [Therapy]
Adult
Aged
Female
Gynecologic Surgical Procedures/ae [Adverse Effects]
Humans
Middle Aged
Retrospective Studies
Risk Factors
Treatment Outcome
United States
Vesicovaginal Fistula/et [Etiology]
MedStar Washington Hospital Center
Obstetrics and Gynecology/Female Pelvic Medicine and Reconstructive Surgery
Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't
CONCLUSIONS: Most of VVF in this series was managed initially with surgery, with a 77.5% success rate. Of those treated conservatively, only 11.7% resolved. Surgery should be considered as the preferred approach to treat primary VVF. METHODS: This institutional review board-approved multicenter review included 12 academic centers. Cases were identified using International Classification of Diseases codes for VVF from July 2006 through June 2011. Data collected included demographics, VVF type (simple or complex), location and size, management, and postoperative outcomes. chi(2), Fisher exact, and Student t tests, and odds ratios were used to compare VVF management strategies and treatment outcomes. OBJECTIVES: Vesicovaginal fistulae (VVF) are the most commonly acquired fistulae of the urinary tract, but we lack a standardized algorithm for their management. The purpose of this multicenter study was to describe practice patterns and treatment outcomes of VVF in the United States. RESULTS: Two hundred twenty-six subjects were included. The mean age was 50 (14) years; mean body mass index was 29 (8) kg/m(2). Most were postmenopausal (53.0%), nonsmokers (59.5%), and white (71.4%). Benign gynecologic surgery was the cause for most VVF (76.2%). Most of VVF identified were simple (77.0%). Sixty (26.5%) VVF were initially managed conservatively with catheter drainage, of which 11.7% (7/60) resolved. Of the 166 VVF initially managed surgically, 77.5% resolved. In all, 219 subjects underwent surgical treatment and 83.1% of these were cured.
English
2151-8378
*Vesicovaginal Fistula/th [Therapy]
Adult
Aged
Female
Gynecologic Surgical Procedures/ae [Adverse Effects]
Humans
Middle Aged
Retrospective Studies
Risk Factors
Treatment Outcome
United States
Vesicovaginal Fistula/et [Etiology]
MedStar Washington Hospital Center
Obstetrics and Gynecology/Female Pelvic Medicine and Reconstructive Surgery
Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't