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Abstract

Introduction: Complex vesicovaginal fistula (VVF) is a debilitating condition that often results from obstetric trauma, surgical injury, or radiation, posing significant challenges to surgical repair and postoperative recovery. Objective: To assess the impact of surgical repair in complex vesicovaginal fistula patients. To assess the impact of surgical repair in patients with complex vesicovaginal fistula. Materials and Method: The study was done prospectively at a prospective observational study at Department of Urology, Armed Forces Institute of Urology from January 03, 2025 and May 15, 2025. Thirty-two complex VVF patients were recruited. Based on the nature of the fistula, surgical repairs were done by using a transvaginal or transabdominal fashion. Two and six weeks were used to investigate postoperative numbers. Results: There was complete closure in 81.25 percent of the patients. There was partial healing in 12.5% and failed repair in 6.25%. Tissue flaps and use were linked with a better surgical outcome. There were worse prognoses of radiation-induced and recurrent fistulae. Conclusion: Surgical repair of complex VVF yields favorable outcomes when guided by careful assessment, technique, and postoperative care, though prevention remains crucial.