Posted by: urologysurgery on: May 23, 2009
There are numerous causes for the formation of a fistula tract between the bladder and the vagina. In developing countries the primary etiology is prolonged and obstructed labor, but in more developed countries the cause of approximately 90% of vesicovaginal fistula (VVF) is surgical trauma following gynecologic procedures. Total abdominal hysterectomy for benign disease accounts [...]