Original Article

Common genitourinary fistulae at a referral hospital in Saudi Arabia

  • AHMED H AL-BADR
  • OLA T MALABARY
  • ABDULLAH N AL-JASSER
  • VALERIE A ZIMMERMAN

Pelviperineology 2010;29(4):110-112

Objective:

To evaluate genitourinary fistulae cases, including factors, management, and outcome.

Material and Methods:

A retrospective chart review of 10 genitourinary fistulae cases at a referral hospital.

Results:

Ten patients: 4 vesicouterine fistulae (VUF), 4 vesicocervical fistulae (VCF), and 2 vesicovaginal fistulae (VVF). Ali VUF were complications of cesarean section (CS). Three VCF were secondary to cesarean subtotal hysterectomy, and one was subsequent to CS. One VVF was a complication of hysterectomy, and the other was secondary to a road traffic accident. Three VUF cases underwent surgical repair and one had fulguration. One VCF underwent surgical repair, and 3 had conservative management. One VVF underwent surgical repair, and one underwent fulguration. Ali patients were asymptomatic during follow up.

Conclusion:

The majority of cases were CS related, one was post gynecologic surgery, and one was related to an external injury. None were complications of prolonged or instrumental delivery. Ali cases were cured

Keywords: Fistula, Genitourinary, Saudi Arabia, Urinary incontinence