Predictors of recurrence after vesicovaginal fistula repair: a systematic review of surgical and patient-related factors - Takeaways - MDSpire

Predictors of recurrence after vesicovaginal fistula repair: a systematic review of surgical and patient-related factors

  • By

  • Mohammad Shazib Faridi

  • Lubna Inam

  • Vyomesh Rastogi

  • June 23, 2026

  • 0 min

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  • 1

    Vesicovaginal fistula (VVF) repair has primary success rates of 80-95%, but recurrence occurs in 10-30% of cases.

  • 2

    Predictors of VVF recurrence include fistula size greater than 2-3 cm, severe peri-fistula fibrosis, and multiple fistulas.

  • 3

    Protective factors against VVF recurrence include early intervention, surgery in specialist centers, and the use of interposition flaps.

  • 4

    The Goh and Panzi classifications assist in predicting the risk of VVF recurrence.

  • 5

    Most studies reviewed had low to moderate risk of bias, and narrative synthesis was performed due to study heterogeneity.

Original Source(s)

Predictors of recurrence after vesicovaginal fistula repair: a systematic review of surgical and patient-related factors

  • by Mohammad Shazib Faridi, Lubna Inam, Vyomesh Rastogi

  • June 23, 2026

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