Case Series of Vesicovaginal Fistulae in Nizwa Hospital, Trend, Outcome and Review of Literature

Vesicovaginal fistula (VVF) an iatrogenic complication is a distressful condition. In developed countries, the majority of fistula result from gynecological/urogynecological surgeries, whereas in under developed countries, obstructed labour remains a common cause. Accurate diagnosis and proper preoperative planning are essential for a successful outcome. Although the incidence of vesicovaginal fistula resulting from a hysterectomy is estimated to be less than 1%, we should still be cautious of the possibility of this occurrence, evaluate and treat as necessary when suspicion arises. In addition surgical experience, judgment and appropriate technique will enhance the outcome of fistula repair. We report three cases of vesicovaginal fistula occurring in different scenarios with their management.