Repair of Urethrovaginal Fistula Treatment in India
About Repair of Urethrovaginal Fistula
Key Highlights
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Restores normal urinary continence and stops involuntary urine leakage.Repairs the anatomical defect between the urethra and vagina.Reduces the risk of recurrent urinary tract and vaginal infections.Improves personal hygiene, comfort, and overall quality of life.Performed by specialists with expertise in female pelvic reconstructive surgery.Utilizes precise surgical techniques to ensure a watertight, multi-layered closure./ul
Who is this surgery for?
- Persistent, painless leakage of urine through the vagina (urinary incontinence).
- Urethrovaginal fistula confirmed by diagnostic tests like cystoscopy or dye tests.
- Fistula resulting from obstetric trauma, such as prolonged or difficult childbirth.
- Complication following pelvic surgery (e.g., hysterectomy, anterior colporrhaphy).
- Fistula caused by pelvic radiation therapy for cancer treatment.
- Injury from pelvic fractures or other blunt trauma.
- Chronic local inflammation or infection that does not resolve with conservative management.
How to prepare
- Complete medical history review and physical examination by the gynaecologist.
- Diagnostic confirmation via cystoscopy, vaginoscopy, or methylene blue dye test.
- Urine culture to rule out or treat any active urinary tract infection.
- Pre-operative counselling to discuss the procedure, goals, and recovery expectations.
- Informed consent process detailing the risks and benefits of surgery.
- Fasting for 6-8 hours before the procedure as per anaesthesia guidelines.
- Discontinuation of certain medications (like blood thinners) as advised by the doctor.
- Possibly, a course of vaginal estrogen cream to improve tissue health before surgery.
Risks & possible complications
- Bleeding or hematoma formation at the surgical site.
- Infection of the surgical wound, urinary tract, or vagina.
- Recurrence of the fistula if healing is incomplete.
- Injury to surrounding structures like the bladder or ureters.
- Formation of a new fistula or stricture (narrowing) in the urethra.
- Persistent stress urinary incontinence even after fistula closure.
- Pain or discomfort during sexual intercourse (dyspareunia).
- Reactions to anaesthesia.
- Scar tissue formation.
Recovery & hospital stay
- Hospital stay is typically required for monitoring and initial pain management.
- A urinary catheter (Foley's catheter) is placed for 7-14 days to allow the repair to heal without pressure.
- Oral antibiotics and pain medications are prescribed to prevent infection and manage discomfort.
- Strict hygiene is essential; patients are advised on gentle perineal care.
- Avoidance of strenuous activities, heavy lifting, and sexual intercourse for 6-8 weeks.
- Follow a high-fiber diet and use stool softeners to avoid straining during bowel movements.
- Regular follow-up visits are scheduled to monitor healing and remove the catheter.
- Full recovery and return to all normal activities may take several weeks.
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Typical hospital stay:
3-5 days
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Expected recovery time:
6-8 weeks
Frequently Asked Questions
If you are considering repair of urethrovaginal fistula in India, these questions and answers can help you make a confident, informed decision.
Popular choices for repair of urethrovaginal fistula in India include Manipal Hospital Mukundapur, Manipal Hospital Dwarka, SIMS Hospital Vadapalani, Manipal Hospital Old Airport Road, Kamineni Hospital, King Koti, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform repair of urethrovaginal fistula. MediFyr helps you compare obstetrics and gynaecologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for repair of urethrovaginal fistula compare across other countries where we have data.
Top hospitals for Repair of Urethrovaginal Fistula in India
These partner hospitals in India have dedicated obstetrics and gynaecology teams and experience managing patients undergoing repair of urethrovaginal fistula.
Hyderabad, India
20 Doctors
Ishaan Miller, a 28-year-old transgender man,...
Ishaan Miller, a 28-year-old transgender man, had undergone gender-affirming phalloplasty two years prior. For the last six months, he had been experiencing constant, uncontrollable leakage of urine from his vagina, requiring him to wear pads constantly. This was deeply distressing, causing skin irritation, recurrent urinary tract infections, and a profound sense of bodily betrayal that worsened his gender dysphoria. His gynecologist, who specialized in transgender care, diagnosed a urethrovaginal fistula, a small tunnel between his reconstructed urethra and vaginal canal. She recommended a surgical repair, explaining it was the only way to stop the leakage and restore his comfort and confidence. The surgery, performed vaginally to minimize external scarring, was successful. Recovery involved a temporary urinary catheter for two weeks, which was challenging but manageable with support. After its removal, the leakage had completely stopped. Emotionally, Ishaan moved from a state of despair and feeling 'broken' post-phalloplasty to one of immense relief and closure. He could finally live without the constant reminder of the complication, feeling more at home in his body and able to move forward in his transition journey.
Obstetrics and Gynaecologists for Repair of Urethrovaginal Fistula
Explore experienced obstetrics and gynaecologists who regularly perform repair of urethrovaginal fistula and provide pre- and post-operative care in India.
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Manipal Hospital Old Airport Road, Bangalore
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Manipal Hospital Old Airport Road, Bangalore