Abstract

ABSTRACT: BACKGROUND: Vesicovaginal fistula (VVF) is an abnormal fistulous tract extending between the bladder and the vagina In addition to the medical sequel; they often have a profound effect on the patient's emotional well-being and social life. OBJECTIVE: Is to evaluate success of abdominal approach in treating vesicovaginal fistula in Iraqi patients. METHODS: Retrospective comparative study was carried out on fourteen Iraqi patients suffering from vesicoveginal fistula according to inclusion criteria and followed for 3-12 months after tranabdominal repair with omental interposition flap. RESULTS: Twelve (85%) patients have obstetrical causes while two (15%) patients have gynecological causes. Eight (75%) patients aged between 21-30 years while six (43%) patients aged between 31-45 years. Eight (57%) patients are primigravidae. Site of fistula either spratrigonal[seven cases (50%)] or infratrigonal [seven cases (50%)]. Only one of infratrigonal fistula is close to ureteric orifice. Size of fistula either <1cm [seven cases (50%)] or between 1-2 cm [five cases (36%)] or between 2.1-3 cm [two cases (14%)]. Twelvecases (85%) have correct repair. CONCLUSION: The results of suprapubic closure of a vesicovaginal fistula are very good