The repair of vesicovaginal fistulas with omentum. A review of 59 cases.

The treatment of 59 consecutive vesicovaginal fistulas is described. Five patients were treated by simple vaginal repair; in 52 patients repair was carried out with the aid of an omental pedicle. Only 2 of these patients are not fully continent; 1 awaits further surgery and 1 has stress incontinence but refuses a further operation. A further 2 patients were treated by urinary diversion. The cure rate was 93%. The value of omentum in overcoming fibrosis and tissue loss is discussed.