Table of Contents
ISRN Obstetrics and Gynecology
Volume 2013 (2013), Article ID 672540, 4 pages
http://dx.doi.org/10.1155/2013/672540
Clinical Study

Is the Simple Closure Technique Effective in the Treatment of Genital Fistulas?

1Ankara Etlik Zubeyde Hanim Women’s Health Teaching and Research Hospital, Yeni Etlik Cadde No. 55, Etlik, 06010 Ankara, Turkey
2Van Özalp Devlet Hastanesi, Cumhuriyet Mahalle No.3 Özalp Merkez, Özalp, 65800 Van, Turkey
3Ankara Ataturk Training and Research Hospital, Bilkent yolu 3. Km Çankaya, 06800 Ankara, Turkey

Received 20 December 2012; Accepted 14 January 2013

Academic Editors: P. K. Mallmann and M. T. Sanseverino

Copyright © 2013 Eylem Unlubilgin et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Aim. Genitourinary fistulas are bothersome clinical entities not only for the patient but also for the treating surgeon as well. A lot of surgical procedures have been proposed; however, most of the fistulas can be easily treated with plain surgical techniques, such as the simple surgical closure of the fistula tract. Material and Method. The study was carried out in the urogynecology department of Ankara Etlik Zübeyde Hanım Maternity Training and Research Hospital. The study included 12 cases with vesicovaginal fistulas and 15 cases with rectovaginal fistulas. Twenty-six patients underwent simple surgical closure technique. The age, the referral time to the hospital, the longest diameter of the fistula opening, the hospitalization time, the follow-up period and identifiable risk factors of the patients were evaluated. Results. Caeserean section was detected as primary risk factor for vesicovaginal fistulas and prolonged labor was detected as the most important risk factor for rectovaginal fistulas. In our study, we found that the simple closure technique cured 91% of vesicovaginal fistulas and 93% of rectovaginal fistulas. Conclusion. The simple closure technique has very high cure rates for both vesicovaginal and rectovaginal fistulas when the longest diameter of the fistula openings is  mm.