VVF Repair
Restoring hopeRestoring lives.
A Vesicovaginal Fistula (VVF) Repair is an operation that involves surgical creation of the normal condition of the fistula, which exists between the bladder and the vagina. Urine continues leaking into the vagina from the bladder in most cases without the person controlling when to do so. There are many reasons why vesicovaginal fistulas may arise, including childbirth and pregnancy, surgery, long obstructed labour, pelvic tumours, or severe infections. Women afflicted with VVF not only suffer from physical impediments but also psychological disturbances, more so because the condition affects their daily activities and relationships with others.
Causes of Vesicovaginal Fistula
VVF mainly results from obstetrical violence, particularly within the geospace, where pregnant women do not have respite in terms of modernized health provision during delivery. However, other possible explaining factors include
Excessive obstruction, which causes labour to last excessively long
Gradually, excessive pressure on the pelvic tissues lacerates the blood supply, resulting in the death of some tissues and, therefore, the formation of the fistula.
Operations that involve the female reproductive system
Invasive procedures such as hysterectomy are commonly associated with surgical complications that damage the bladder and result in the formation of a fistula.
Chemotherapy
One of the side effects of cancer treatment, which concentrates on the pelvic area, is tissue damage through radiation, leading to the development of fistulas.
Intra-abdominal conditions
One of the side effects of cancer treatment, which concentrates on the pelvic area, is tissue damage through radiation, leading to the development of fistulas.
Symptoms of Vesicovaginal Fistula
Vesicovaginal Fistula
Surgical repair of the vesicovaginal fistula. Surgical repair of the vesicovaginal fistula is the most effective treatment option. The procedure aims to abolish the abnormal communication between the urinary bladder and vagina, thus reinstituting normal urination. Some of the appendages of the surgery include vaginal, abdominal, laparoscopic, and transcervical routes, among others, depending on the size, location, and complexity of the fistula.
Steps of the Procedure:
In preparation for the actual surgery or the preoperative stage, complete the evaluation of the patient’s performance. It entails a comprehensive investigation of the patient, including relevant laboratory investigations such as cystoscopy and various imaging studies, in order to assess the size and position of the fistula.
Surgical approach
Vaginal approach
In this case, vaginal injury is the least attempted, and the fistula is approached and repaired through the vaginal wall.
Abdominal approach
If the size of the fistula is large and complex, in this case, an abdominal incision may be employed for the access of the bladder and vagina.
Laparoscopic or robotic-assisted approach:
Repair of the fistula in those who are not open to very invasive techniques utilizing tiny incisions and LISCS instruments. Only fisting with no penetration. plastic
Tissue repair
The fistula is closed using stitches, and careful closure is facilitated with healthy tissues from nearby areas and placing them into the fistula area com usually taken from, for example, a flap from the vagina or the wall of the bladder, vaginal wall.
Recovery After VVF Repair
VVF repair surgery takes a short period of about a month, and vines emphasize their medical treatment for the safety of the surgery. This includes, among others.
The urinary catheter also assists very much in circumferential or depth stress reduction to the repaired tissue as well as endothelially allowing the bladder to replenish.
The patients should refrain from such activities as lifting weights, having sexual activities, and undertaking vigorous activities for several weeks.
The postoperative checkup is a necessary step to evaluate and make sure that no complications, such as infectious processes or any other within the area, such as a fistula, will occur.
Psychological and Emotional Support
The thrust of this exploration encapsulates the thundering recognition that the quality of life in women with VVF may unequally be tormented by emotional conditions, whereas also recovering yes accomplishes psychological struggles. Women who have had surgery to treat the condition require integrating counselling and support from family, friends, and healthcare providers to restore their confidence and their lives.
There is a particular focus on the conclusion of the paper espe,cially because it summarises the entire study that was presented. With its ability to heal and improve ‘normal urinary function’ in women with vesicovaginal fistulas, VVF reconstructive surgery can be considered a life-changing operation. The current average duration of stay in the hospital after undergoing Vanek surgical repair of a VVF is two days. This is purposively increasing and allows for complete ambulation seven days after surgery. It is equally important that once you regain your preoperative health, you have to be proactive in managing any post-surgical complications that you may experience, such as infections.