{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T09:54:43Z","timestamp":1771062883148,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2011,5,6]],"date-time":"2011-05-06T00:00:00Z","timestamp":1304640000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2011,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To document the experience at a tertiary referral hospital in India with managing complex and complicated vesicovaginal fistulae (VVF) by the transvaginal route, and to document the complications and the long\u2010term outcome of the patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The medical records of 102 patients with complex or complicated VVF who underwent transvaginal surgical repair during 2000\u20132009 were reviewed retrospectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean age of the patients was 24 years and the mean duration of urinary incontinence was 3 years (range 6 months to 12 years). The patients were followed up for a median of 48 months. In total, 78 patients had obstetric fistulae, 20 patients had surgical (gynecologic) fistulae, and 4 patients had postradiation fistulae. The overall success rate for the transvaginal approach was 86.3%. Fourteen patients remained incontinent despite the surgical repair. Early failure of the repair was observed in 11.8% of the patients and delayed failure in 2.0%. Postoperative complications included stress urinary incontinence (9.8%), urge urinary incontinence (7.8%), dyspareunia (5.9%), and chronic labial pain (2.0%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The transvaginal approach to the repair of complex and complicated VVF gives good long\u2010term results with low complication rates.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2011.01.015","type":"journal-article","created":{"date-parts":[[2011,5,9]],"date-time":"2011-05-09T04:35:36Z","timestamp":1304915736000},"page":"51-55","source":"Crossref","is-referenced-by-count":21,"title":["Transvaginal repair of complex and complicated vesicovaginal fistulae"],"prefix":"10.1002","volume":"114","author":[{"given":"Vishwajeet","family":"Singh","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rahul J.","family":"Sinha","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satya N.","family":"Sankhwar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seema M.","family":"Sinha","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Priti","family":"Vatsal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vaishali","family":"Jain","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,5,6]]},"reference":[{"issue":"3","key":"e_1_2_6_2_2","doi-asserted-by":"crossref","first-page":"370","DOI":"10.1016\/S0022-5347(17)55941-8","article-title":"Vesicovaginal and ureterovaginal fistulas: a summary of 25 years of experience","volume":"123","author":"Goodwin W.E.","year":"1980","journal-title":"J Urol"},{"issue":"3","key":"e_1_2_6_3_2","first-page":"313","article-title":"Current status of genitourinary fistula","volume":"72","author":"Lee R.A.","year":"1988","journal-title":"Obstet Gynecol"},{"issue":"1","key":"e_1_2_6_4_2","first-page":"20","article-title":"Vesical fistulae\u2013an experience from a developing country","volume":"39","author":"Raut V.","year":"1993","journal-title":"J Postgrad Med"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2007.06.026"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00372737"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00372735"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4401(01)00056-0"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2006.06.003"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-009-0804-2"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4401(03)00053-6"},{"key":"e_1_2_6_12_2","first-page":"123","article-title":"Vesicovaginal and ureterovaginal fistulas: a summary of 25 years of experience","volume":"71","author":"Goodwin W.E.","year":"1979","journal-title":"Trans Am Assoc Genitourin Surg"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-7292(03)00222-4"},{"issue":"6","key":"e_1_2_6_14_2","first-page":"1995","article-title":"Management of female genitourinary fistulas: transvesical or transvaginal approach?","volume":"160","author":"Leng W.W.","year":"1998","journal-title":"J Urol"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2005.14.839"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01901602"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)62769-1"},{"key":"e_1_2_6_18_2","first-page":"691","volume-title":"Surgical fistulae","author":"Hilton P.","year":"2001"},{"issue":"2","key":"e_1_2_6_19_2","first-page":"32","article-title":"Vesicovaginal fistula surgery in Uganda","volume":"9","author":"Hancock B.","year":"2004","journal-title":"East Cent Afr J Surg"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1080\/003655999750016069"},{"issue":"3","key":"e_1_2_6_21_2","first-page":"151","article-title":"Vesicovaginal fistula. 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