Vadodara: Normalcy has returned in the life of a 52-year-old Ratlam-based woman who was suffering from vesico-vaginal fistula (VVF), a condition whereby urine continuously leaks from the urinary bladder directly into vagina.The patient who had to continuously wear diapers and suffered from lifelong morbidity has been saved through laparoscopic surgery.According to doctors at Parul Sevashram Hospital (PSH), a major reason for this disorder is due to any form of trauma during surgeries, causing rent or tear as an artificial tract through which urine flows continuously gets created.The woman had undergone a total abdominal hysterectomy five years back. However, due to post-operative complications, she began developing VVF.After consulting a number of doctors and taking various medications for five years, she underwent a thorough clinical evaluation and diagnostic procedure at PSH through which VVF was diagnosed.“Many doctors were in favour of operating her by open surgery. But the patient already had a vertical scar due to her previous surgery. The open surgery was comparatively easy but it would have resulted in a second transverse scar and with two scars the patient had the risk of suffering a life-long morbidity,”said Dr Komal Patel, the senior gynaecologist at PSH.“We decided to do primary laparoscopic VVF repair and if need arise go for open surgery,” said Patel, whose team involved a urologist and laparoscopic surgeon.“With good team effort, we successfully complete the procedure,” she said.According to PSH officials, such laparoscopic surgeries have been performed at two or three private hospitals in the city where the operation may cost around Rs two lakh. At PSH, however, the surgery cost the patient only Rs 10,000.

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