Vesicovaginal Fistula (VVF) Repair in Lucknow — Dr. Kanishk Dokania, Lucknow

Book an Appointment

🔧 VVF Repair

Vesicovaginal Fistula (VVF) Repair in Lucknow

Expert vesicovaginal fistula (VVF) repair by Dr. Kanishk Dokania at Charak Hospital, Lucknow. Transvaginal and transabdominal repair. 90%+ success. Call: 0522-666-4444.

📅 Book Appointment 📞 0522-666-4444
← Back to Dr. Kanishk Dokania's Profile

What is Vesicovaginal Fistula?

A vesicovaginal fistula (VVF) is an abnormal connection between the urinary bladder and the vagina, causing continuous involuntary leakage of urine through the vagina. It is a profoundly distressing condition that severely impacts quality of life, hygiene, relationships and social participation.

Causes

  • Obstetric injury — prolonged obstructed labour (most common in developing countries)
  • Gynaecological surgery — hysterectomy (most common cause in India)
  • Pelvic radiation — for cervical, uterine or rectal cancer
  • Pelvic trauma, foreign body, or malignancy involving the bladder

Surgical Repair

Repair Options Based on Fistula Type

  • Transvaginal Repair — for simple low VVFs; performed vaginally without abdominal incision. Success rate: 85–95% primary repair.
  • Transabdominal Repair (O'Conor technique) — for high, large, complex or recurrent VVFs. Omental interposition used.
  • Latzko technique — partial colpocleisis for post-hysterectomy VVF; excellent outcomes.
  • Tissue interposition — Martius labial fat pad or gracilis flap for irradiation-induced fistulas.

Surgery is typically performed 3–6 months after the causative injury to allow inflammation to resolve. A temporary catheter is placed for 3–4 weeks after repair.

Frequently Asked Questions

VVF repair should be delayed 3–6 months after the causative event (obstetric injury or surgery) to allow tissue inflammation and oedema to resolve, which significantly improves healing. Earlier repair (<6 weeks) by experienced surgeons is sometimes successful for simple iatrogenic fistulas detected immediately post-operatively.
Primary transvaginal or transabdominal repair for simple VVF has a success rate of 85–95%. Radiation-induced fistulas are more complex and may need tissue interposition flaps; success rates are 60–80%. Dr. Dokania will select the appropriate technique based on fistula size, location, cause, and previous attempts.
Very small fistulas (<3 mm) detected immediately post-operatively may occasionally close with prolonged catheterisation (4–6 weeks) and anti-inflammatory treatment. However, the vast majority of VVFs require surgical repair. Dr. Dokania will assess whether a trial of conservative management is appropriate before planning surgery.

📍 Consult Dr. Kanishk Dokania at Charak Hospital, Lucknow

  • MBBS · MS · M.Ch (Urology) — Urologist & Kidney Transplant Surgeon, 11+ years experience
  • OPD: Monday–Saturday, 10:00 AM – 5:00 PM | Consultation Fee: ₹800
  • Institute of Urology & Kidney Transplant, Hardoi Road, near Safaid Masjid, Dubagga, Lucknow – 226003
  • 📞 0522-666-4444 | Emergency: 24×7

Consult Dr. Kanishk Dokania

🕐 OPD & Contact

Days: Monday – Saturday

Timings: 10:00 AM – 5:00 PM

Fee: ₹800

Emergency: 24×7

📞 0522-666-4444

⚕️ Related Topics