pelviperineology. 2010; 29(4): 110-112 | DOI:

Common genitourinary fistulae at a referral hospital in Saudi Arabia

AHMED H AL-BADR¹, OLA T MALABARY², ABDULLAH N AL-JASSER³, VALERIE A ZIMMERMAN^4
1Consultant and Chairman of Urogynecology and Pelvic Reconstructive Surgery, Women Specialized Hospital, King FahadMedical City (KFMC), Riyadh, KSA. Formerly, consultant of Obstetrics and Gynecology, Security Forces Hospital (SFH), Riyadh, KSA, ²Resident in Obstetrics and Gynecology, McGill University, Montreal, Canada. Formerly, resident of Obstetrics and Gynecology, SFH, Riyadh, KSA, ³Consultant of Urology and Chairman, Department of Surgery, SFH, Riyadh, KSA, ⁴Research and Publication Office, KFMC

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

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Cite This Article

AL-BADR A, MALABARY O, AL-JASSER A, ZIMMERMAN V. Common genitourinary fistulae at a referral hospital in Saudi Arabia. 2010; 29(4): 110-112

Corresponding Author: AL-BADR A.

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