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Vesicovaginal fistula, or VVF, is an abnormal fistulous tract extending between the bladder and the vagina that allows the continuous involuntary discharge of urine into the vaginal vault. [citation needed] In addition to the medical sequela from these fistulas, they often have a profound effect on the patient's emotional well-being.
Women with a small pelvis are more likely to develop a fistula. Though rare, a fistula can form after the minimally invasive oocyte retrieval part of infertility treatment. [14] Urogenital fistulas (vesicovaginal) caused by surgical complications occur at a frequency of 0.8 per 1000. [1]
James Marion Sims (January 25, 1813 – November 13, 1883) was an American physician in the field of surgery.His most famous work was the development of a surgical technique for the repair of vesicovaginal fistula, a severe complication of obstructed childbirth. [3]
M. Ijaiya's technique is a surgical procedure that involves the use of the posterior lip of the cervix to close juxtacervical vesicovaginal fistulae. [ 1 ] History
Vesicouterine fistula refers to an abnormal communication between the bladder and uterus. The first case of vesicouterine fistula was reported in 1908. [ 2 ] It was however first described in 1957 by Abdel Fattah Youssef, an obstetrician and gynaecologist in Kasr el-Aini hospital, Cairo , Egypt .
A ureterovaginal fistula is a result of trauma, infection, pelvic surgery, radiation treatment and therapy, malignancy, or inflammatory bowel disease. Symptoms can be troubling for women especially since some clinicians delay treatment until inflammation is reduced and stronger tissue has formed. [2]
The knee-chest position [1]. The knee-chest position or genupectoral position is a position used in a number of medical situations including gynecological examination and surgery, lumbar spine surgery, [2] [3] [4] repair of vesico-vaginal fistula (VVF) by Sims's saucerisation procedure, labor and delivery for which it is recommended in those with a cord prolapse until delivery can occur, [1 ...
Rectovaginal fistulas are often the result of trauma during childbirth (in which case it is known as obstetric fistula), with increased risk associated with significant lacerations or interventions are used such as episiotomy or operative (forceps/vacuum extraction) deliveries [2] or in situations where there is inadequate health care, such as in some developing countries.