Yashoda Hospitals » Surgery Care » VVF Repair

VVF Repair Surgery in Hyderabad

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What Is VVF Repair?

A VVF ( Vesico Vaginal Fistula) repair is a standard surgical procedure for patients with a fistula between the urinary bladder and vaginal vault. A fistula is a pathological opening or connection between two parts of your body. VVF is a type of female urogenital fistula that opens between the vagina and urinary bladder. This can lead to irregular urinal flow in the vaginal area and affect the patient’s psychological well-being. A laparoscopic VVF repair is the most common method for managing VVF.

Who needs a VVF Repair?

If there is an uncontrollable leak of urine from the bladder to vagina, in such a case the patient may need a VVF repair surgery. Other symptoms may also indicate getting a VVF repair done, such as fever, belly pain, diarrhoea, weight loss, nausea, and vomiting. However, it is always advisable to consult the physician for a final diagnosis and treatment plan.

How is VVF repair performed?

Preparation for VVF Treatment:

As soon as the diagnosis is confirmed, the doctor will give all the necessary information before the procedure. The patient will be advised not to eat or drink anything after midnight before surgery. If the patient is taking any medications, she should disclose it to the physician.

During surgery

The procedure begins with administering general anaesthesia to the patient. A scope may be inserted through the urethra to examine the location of fistula. The surgeon will make an incision around the fistula to repair it. The outer membranes of the vagina and bladder will be separated, and the surgeon will suture the wound back together. Bandages soaked in antibiotic medication may be placed on the vagina to prevent infection.

After VVF Repair Surgery

A catheter is required for proper bladder outflow. Following the surgery, the patient will be observed for a while. After being discharged from the hospital, the patient is advised not to do any strenuous physical activities until fully recovered. Any abnormal discharge or bleeding from the vagina should be reported to the doctor immediately.

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Cost of VVF Repair in Hyderabad, India

The cost of surgery depends on several factors, like the complexity of the procedure and the type of approach used for surgery. The fee may also differ based on location, hospitals, and facilities.

Description	Cost
Cost of VVF Repair in Hyderabad	Rs. 68931
Cost of VVF Repair in India	Rs. 40480

Surgery details	Description
Number of days in the hospital	1 Day
Type of surgery	Minor
Type of Anaesthesia	General anaesthesia
Number of days required to recover	Complete recovery in 4-6 weeks
Duration of the procedure	120 Minutes
Type of surgical options available	Open or Minimally invasive

Risks and complications of VVF Repair

Although the success rate of VVF repair is more than 85%, there are chances of some risks and complications. These include:

Excessive bleeding
Secondary infection
Ureteric injury
Bladder spasms
Vaginal bleeding
In some cases, it may lead to the formation of bladder stones
Frequent urge to urinate
Recurrent fistula

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Frequently Asked Questions

Yes, it is possible to get pregnant after a successful VVF repair surgery. Many researchers found that although normal delivery is complicated in such cases, caesarean section and other treatment options are available. However, it is advised to consult the gynaecologist before conceiving.

A VVF repair is always performed under general anaesthesia. So there is no pain or discomfort during the procedure. However, some pain may be felt after the surgery. Often, the surgeon will prescribe pain medications beforehand to minimise the discomfort.

A bladder fistula is typically formed when there is a hole or tunnel-shaped opening between the urinary bladder and other body parts, mainly either in the vagina or the bowel. However, this fistula cannot heal on its own. A small vesicovaginal fistula can be managed with a catheter.

Different kinds of pathological fistulas can develop in the body. Although constipation cannot lead to vesicovaginal fistulas, other anal fistulas can result from constipation. This typically occurs due to an injury during constipation.

Various factors contribute to the successful completion of a VVF repair, including surgical intervention, preoperative evaluation, exposure of the fistula and surrounding tissues, tension-free closure, excision of all fibrotic tissue, and sufficient postoperative maintenance. With the advancement in technology and techniques in medical science, the recurrence rate of a VVF has been reduced. However, in rare cases, a fistula can come back.

The bowel movement after rectovaginal surgery can be of some concern. For 1-2 weeks, you may experience pain or discomfort while pooping. Drink plenty of water and eat fibrous food, or ask ther doctor to prescribe a stool softener or laxative. However, After a VVF Repair surgery, no special precautions are required.

It is usually preferred to use a minimally invasive method to close the fistula for faster recovery. More invasive surgery, such as opening the bladder from the abdomen, requires a much more extended recovery period. Simple closure with minimum injury to the surrounding tissue will result in a quicker and better recovery. Also, follow the doctor’s instructions very carefully. Avoid any strenuous exercise and sexual intercourse. And most importantly, take complete bed rest.