A clinical observation was made on 20 cases of vesicovaginal fistula admitted to the
Department of Urology, presbyterian Medical Center during the period from Aug., 1970 through July.
1977 and the following results were obtained.
1. Among 36 cases of urinary tract fistula, the most commonly involved site was bladder(22cases) and the most common fistula type was vesicovaginal fistula (20cases).
2. Among 20 cases of vesicovaginal fistula, the most common age was between 30 and 50 years.
3. The most common etiology of vesicovaginal fistula was gynecological cause(9 cases).
4. The most common location of vesicovaginal fistula was trigone(13 cases) mainly.
5. On I.V.P. finding of vesicovaginal fistula, 11 cases were normal and 8 cases abnormal.
6. On cystoscopic findings of vesicovaginal fistula, 7 cases were normal, 11 cases abnormal, 3 cases combined with bladder stone and 1 case with vaginal stone.
7. On treatment of vesicovaginal fistula, suprapubic transvesical approach was performed in 9 cases, transvesical transperitoneal approach 4 cases, Foley catheter drainage 3 cases and ileal conduit 1 case.
8. Success rate of repair was 76.9%, suprapubic transvesical 66.7 % and transperitoneal transvesical 100 %.
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