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Management of vesicovaginal fistulae: a multicenter analysis from the Fellows' Pelvic Research Network.

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Citation: Female Pelvic Medicine & Reconstructive Surgery. 20(1):7-13, 2014 Jan-Feb.PMID: 24368481Institution: MedStar Washington Hospital CenterDepartment: Obstetrics and Gynecology/Female Pelvic Medicine and Reconstructive SurgeryForm of publication: Journal ArticleMedline article type(s): Journal Article | Multicenter Study | Research Support, Non-U.S. Gov'tSubject headings: *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]Year: 2014 ISSN:

2151-8378

Name of journal: Female pelvic medicine & reconstructive surgeryAbstract: 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.All authors: Adelowo A, Book NM, Brown HW, Fok CS, Greene KA, Greer JA, Harvie HS, Lindo FM, Oakley SH, Pauls RN, Plowright LN, Richardson ML, Saiz CM, Yurteri-Kaplan LFiscal year: FY2015Digital Object Identifier:

http://dx.doi.org/10.1097/SPV.0000000000000041

Date added to catalog: 2014-09-23

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Title notes ( 5 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	24368481	Available		24368481

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.

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