Abstract

Background: Genito-urinary fistula (GUF) are an important complication of gynecological surgeries. The incidence of GUF is overall 100000 over per year and treatment of GUV is difficult and challenging to surgeon. Methodology: Retrospectively conducted study from 2008 to 2016 consisted of 111 patients who underwent treatment of GUV at a tertiary care centre with dedicated urology department. Results: Of one hundred and eleven patients,45(40.5%) have obstrectic and 66(59.5%)have gynaecological in etiology.Commonest GUF was VVF 99(89.1%).Post operative recurrence was seen in 7(6.3%) at a median regular follow up of 2 months (IQR 9 months).Reason for recurrence are size>2cm,infection,hypoalbunemia and anemia (statistically significant) Conclusion: Appropriate patient selection, meticulous technique, vascularized tissue interposition & preoperative optimization offered high rate of cure from GUF. Recurrent or large fistulae, UTI, hypoalbuminemia & anemia are associated with complications and recurrence. However surgical approach and techniques did not alter the outcome of the procedure. Keywords: GUF- Genito urinary fistula

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