Laparoscopic Versus Open Surgical Repair of Genitovesical Fistula in Females
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Open surgical Interference.
- Who it may be relevant to
- Registry conditions: Genitovesical Fistula. Basic parameters: 25 years — 70 years · Female.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Egypt
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
Laparoscopic Versus Open Surgical Repair of Genitovesical Fistula in Females :ِ A Prospective Comparative Non Randomized Study
Overview
Fistula is an abnormal passway that connects two organs or vessels that do not connect normally. Genitourinary fistula refers to a fistula that occurs between reproductive tract organs (vagina, cervix, and uterus), and lower urinary tract (bladder, urethra, and pelvic ureters). It is a serious condition which can significantly influence the biological and psychological condition of women, with a negative impact on the quality of life.
Detailed description
Fistula is an abnormal passway that connects two organs or vessels that do not connect normally.
Genitourinary fistula refers to a fistula that occurs between reproductive tract organs (vagina, cervix, and uterus), and lower urinary tract (bladder, urethra, and pelvic ureters).
It is a serious condition which can significantly influence the biological and psychological condition of women, with a negative impact on the quality of life.
In developed countries, iatrogenic injury during hysterectomy or pelvic surgery is the primary cause of fistulae . However, the etiology differs in developing countries, being secondary to prolonged, obstructed, complicated labor.
Genitovesical fistulae are one of the most devastating complications in the urogynecology setting. The commonest type of these fistulae is the vesicovaginal fistula (VVF);the patients Suffering from continuous urinary leakage through the vagina and urinary smell, patients with VVF face hygienic, social, infectious, psychological, and sexual problems.
Vesicouterine fistulae (VUF) are not as common as VVF. In 1908, the first case was reported by Knipe , and later in 1957, Youssef reported on the classic symptoms of VUF. These symptoms included amenorrhea and cyclic hematuria, or menouria; known afterward as Youssef's syndrome. The prevalence of these fistulae is estimated to be 1-4% of all genitourinary fistulae.
Several options for the management of such fistulae have been discussed; these include conservative treatment with prolonged catheterization , open surgery, cysto-fulguration, endourology, and laparoscopy/robotic surgery. The decision-making is guided by the patient characteristics, etiology, and the experience of the treating surgeon.
Laparoscopy is of great advantage when compared to open surgery, including safe, effective, minimally invasive procedure, less postoperative pain, smaller incisions, lower blood loss, a shorter hospital stay, and faster recovery. It is associated with a lower incidence of postoperative complications, including infections and improper wound healing
Interventions
- Procedure Open surgical Interference
to compare the outcomes of Laparoscopic repair versus Open surgical repair of Genitovesical fistula in females.
Primary outcome measures
- Treatment of Genitourinary fistula [Time frame: From base line to 2 Months from the starting of the operation]
Eligibility criteria
Inclusion criteria
- Females with Vesicovaginal fistula or Vesicouterine fistula.
- Timing of repair after 2-6 months of beginning of symptoms and signs of fistula.
Exclusion criteria
- Malignant , Recurrant or Post Radiation Genitovesical fistula.
- Females with congenital disease in Bladder ,Uterus or Vagina.
- Females with Vaginal or Uterine prolapse.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Non-randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
Egypt · 1 center
- South Valley University Hospital — Qina
Identifiers
NCT: NCT07043062 · Female Genitovesical fistula