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Objective: To compare the surgical outcome of extravesical and transvesical repair of Vesicovaginal fistula. Study Design: Prospective comparative study. Place and Duration of Study: Armed Forces Institute of Urology, Rawalpindi Pakistan, from Jul 2019 and Jul 2020. Methodology: Forty-two patients with vesicovaginal fistula were included in the study. The causes of the development of vesicovaginal fistula were evaluated. Half of the patients underwent extravesical and remaining transvesical repair. The results were compared regarding operative time, mean blood loss, complications and recurrence. Results: The vesicovaginal fistula was secondary to prolonged obstructed labour 27(66%), with an iatrogenic cause 15(34%). Mean operative time for extravesical repair was 83.00±20.00 minutes and for transvesical repair was 60.00±20.00 minutes. 71% patients undergoing extravesical repair experienced bladder spasms compared to 47% in the transvesical Group. Three cases suffered prolonged illeus in case of extravesical repair. The mean hospital stay for extravesical repair was 6.00±1.08 days, relatively more than transvesical, which was statistically significant (p-value <0.001) Conclusion: Transabdominal approach for managing vesicovaginal fistula is the most preferred successful technique. [ABSTRACT FROM AUTHOR]

Background: Hospitals are overburdened by the number of patients both outdoor and indoor. This study was conducted to determine the length of stay of patients in medical units of a tertiary care hospital in our set up. Material & Methods: This descriptive study was conducted in the Department of Medicine, Postgraduate Medical Institute, Hayatabad Medical Complex Peshawar , Pakistan from April 15, 2010 to September 15, 2010. Total of 174 patients were studied for the purpose of their length of stay in hospital. Length of stay was determined for age groups, gender and diagnostic status of patients. Results: Total of 174 patients (90 males & 84 females) were included in the study. Total length of stay of all patients was 826 days. Average length of stay was 4.74 days. Conclusion: Average length of stay of our patients in medical unit is adequate. Females compared to males stay longer . Patients with predominantly diagnostic problem stay longer . Those above 60 have shorter hospital stay compared to other age groups. [ABSTRACT FROM AUTHOR]