Question

While discharging a patient who underwent a vesicovaginal fistula repair, which of the following would you recommend?

• A. Sexual abstinence for 3 months and avoid pregnancy for a year
• B. Sexual abstinence for 3 weeks and avoid pregnancy for 6 months
• C. Sexual abstinence for 6 weeks and avoid pregnancy for a year
• D. Sexual abstinence for 6 months and avoid pregnancy for 6 years

Answer 1

The Correct Option is A

For a patient who has undergone vesicovaginal fistula repair, it is important to provide specific recommendations to ensure proper healing and prevent complications. The correct guidance for such patients involves:

1. Sexual abstinence: Recommending sexual abstinence for a duration of 3 months. This ensures the surgical site has adequate time to heal and reduces the risk of disrupting the repair.

2. Avoiding pregnancy: Advising the patient to avoid pregnancy for a year. This helps to prevent any strain or pressure on the repaired area and allows the underlying tissues to fully recover.

These recommendations help in promoting optimal healing and reducing the likelihood of recurrence or other complications associated with the surgical repair of vesicovaginal fistulas. Among the provided options, 'Sexual abstinence for 3 months and avoid pregnancy for a year' is the best choice.