Kizilay, FuatOzdemir, TuranAliyev, BayramSimsir, AdnanKalemci, SerdarOzyurt, Ceyhun2020-12-012020-12-0120202148-9580https://doi.org/10.4274/jus.galenos.2020.3182https://hdl.handle.net/11454/62008Objective: To compare the abdominal and transvaginal techniques in the surgical treatment of vesicovaginal fistula (VVF) and analyze the factors affecting its recurrence rate. Materials and Methods: Patients were divided into two groups according to the operation technique used (abdominal-transvaginal) and the recurrence status (recurrent and non-recurrent). the primary endpoint of the study was the comparison of the factors related to fistula and surgical techniques. Results: the number of cases with radiotherapy history was found to be higher in the recurrent group (68.2% vs 11.5%, p<0.001). Although fistulas were more subtrigonally located in the transvaginal repair group, the supratrigonal localization was more frequent in those operated with abdominal technique (p=0.019). While the rates of first and second recurrences were more in the cases managed by the transvaginal technique (p=0.041), the length of hospitalization and the mean operation time were longer in women managed by abdominal technique (p=0.025 and p=0.019, respectively). Conclusion: the abdominal technique provides more favorable outcomes by allowing extensive tissue exposure and omental tissue flep in the surgical treatment of WF. Patients with a history of radiotherapy are more likely to have a recurrence after the surgery and repetitive treatment may be needed.en10.4274/jus.galenos.2020.3182info:eu-repo/semantics/openAccessVesicovaginal fistulaVesicovaginal fistula repairGynecological traumaTransvaginal techniqueAbdominal techniqueArticle73238244WOS:000561681300013N/A