الفهرس 
INTRODUCTION AND AIM OF THE WORKOnly 14 pages are availabe for public view
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Abstract
In this study we aim to evaluation of the incidence and etiology of genitourinary fistulae in EL Minia governorate, as well as the different lines of surgical techniques in management.
Conclusion:
The majority of genitourinary fistulae occur after operations done for treatment of benign gynecological conditions and obstetrics procedures. Simple total hysterectomy is the major causative procedure.
Prolonged labor still be a cause of considerable number of cases of genitourinary fistulae in developing countries, especially in rural areas. Elevation of socioeconomic standard and better obstetric care will help in reduction of occurrence of genitourinary fistulae.
Good knowledge about anatomy of the genital and urinary tracts together with good preoperative preparation, good surgical technique and good post operative care are very helpful to reduce genitourinary fistulae. Also early recognition and prompt repair of injuries to the urinary tract during various gynecological and obstetrics procedures prevent the occurrence of fistulae.
Controversy about the prompt timing of repair of genitourinary fistulae is still present. However early repair of some selected cases is recommended to save kidney function and reduce the wet days.
There is no general appropriate approach for repair of genitourinary fistulae, but each case has its circumstances and the surgeon’s experience should dictate the type of operative approach whether it be vaginal or abdominal. The gynecologists should not insist on the vaginal approach and the urologists should not insist on the abdominal approach and both of them should have a considerable skill in various techniques and approaches.
The final success of any fistulae repair will depend to a considerable extent on the surgeon’s clinical experience surgical judgment and individual technique.