Success of Operation
Conditions
Brief summary
• The aim of this study is to compare between laparoscopic combined trans-vesical and extravesical versus laparoscopic extravesical fistula excision in uterovesical fistula repair.
Interventions
PROCEDURELaparoscopic Extravesical Fistula Excision of Uterovesical Fistula
• In extravesical approach, the posterior bladder wall and the anterior uterine wall around the fistula will be dissected. Scar tissue around the orifice of the fistula will be removed and trimmed. After suturing uterine and bladder wall, intervening omentum will be placed in-between.
PROCEDURELaparoscopic Combined Fistula Excision of Uterovesical Fistula
• In the combined approach, bladder will be opened bivalved till the site of the fistula. Scar tissue around the orifice of the fistula will be removed and trimmed. Careful dissection around the bladder and uterus will be done to suture both walls and place an intervening omentum in-between.
Sponsors
Ain Shams University
Study design
Observational model
CASE_CONTROL
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Healthy volunteers
Yes
Inclusion criteria
Patients diagnosed with uterovesical fistula with history of uterine cesarean section or any urogenital surgery complaining of amenorrhea, cyclic hematuria, with or without urinary incontinence.
Exclusion criteria
* • Pregnant females. * Patients who refuse to participate in the study. * Patients with concomitant pathology that could affect symptoms e.g., polycystic ovary disease, stress incontinence, bladder cancer or overactive bladder. * Patients with malignant fistula.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| success of operation | 6 months | Success of operation with excision of fistula in upcoming CT cystogram |
Countries
Egypt
Outcome results
None listed