vesicovaginal fistula

..To quantify surgical and quality of life outcomes 6 months after obstetric fistula repair...

..The objective of this study was to describe and compare characteristics of women with obstetric fistula...

..The aim of this study was to determine the incidence, sociodemographic parameters, and outcome of surgical repairs of obstetric fistula in our center...

Obstetric vesicovaginal fistula is a devastating cause of urinary incontinence worldwide...

The aim of this study is to summarize the recent data on vesicovaginal fistula in the developing world...

..This article describes a new and simple surgical procedure, which, when employed at the time of fistula closure, seems to reduce the incidence of residual incontinence in those women at a higher risk of developing it...

b>Vesicovaginal fistula is a preventable calamity, which has been an age-long menace in developing countries.

..The purpose of this study was to describe the characteristics of women with obstetric vesicovaginal fistulas at a hospital in north central Nigeria...

The purpose of this study was to show the outcomes of primary surgical repair of obstetric vesicovaginal fistula repairs in Niger, Africa.

b>Vesicovaginal fistula may be a complication of urogynecologic surgery. We describe the technique of laparoscopic repair of vesicovaginal fistula as performed at our 2 institutions.

To describe a methodology for laparoscopic repair of vesicovaginal fistula (VVF), and to provide a comparison of results between a series of laparoscopic repairs, a series of transabdominal open repairs (TAORs), a series of transvaginal ..

..To describe, to our knowledge, the first case report of robotic-assisted laparoscopic repair of a vesicovaginal fistula. A 44-year-old woman presented with a vesicovaginal fistula after vaginal hysterectomy...

Further experience and success in the transurethral repair of vesicovaginal fistula (VVF) prompted a review of our current technique and results. Patient selection criteria, instrumentation, technique, and potential pitfalls are discussed.

To evaluate the rate of vesicovaginal fistula formation and mortality in women with Stage IVA cervical carcinoma.

..4%). CONCLUSION: This immediate management proves highly effective in terms of closure and continence and will prevent the patient from becoming an outcast with progressive downgrading medically, socially, and mentally...

..We performed a laparoscopic repair to minimize the surgical morbidity of the transabdominal approach...

Laparoscopic repair of supratrigonal vesicovaginal fistula is less morbid and equally effective compared to open repair. This approach is advisable when transvaginal repair is difficult.

PURPOSE: We evaluate the prognostic factors of recurrence in patients after the surgical repair of vesicovaginal fistula. MATERIALS AND METHODS: From 1985 to 2002, 73 women with vesicovaginal fistula underwent late (> 3 months) surgical ..

..To examine the efficacy of using fibrin glue (FG) as an interpositioning layer in the repair of complicated vesioovaginal fistulae (VVFe) as compared to the classical repair using martius flaps (Ml')...

OBJECTIVES: To describe a technique of robotic repair of vesicovaginal fistula (VVF) and present our experience with 5 such patients...

b>Vesicovaginal fistula (VVF) may be a complication of prolonged repair or urogynecologic surgery. Failing conservative management, it may be repaired using an abdominal or vaginal approach...

..She was found to have transverse vaginal septum in the lower one-third of her vagina with congenital vesicovaginal fistula (VVF) and a dead fetus of approximately 20 weeks gestation...

..We describe a laparoscopic transvesical technique that minimizes operative morbidity while adhering to the principles of transabdominal repair as described by O'Conner...

..All complicated fistulae should be repaired with tissue interposition or tissue graft. This is the first study from India compiling 10 years of experience on vesicovaginal fistula.

b>Vesicovaginal fistula is a devastating injury in which an abnormal opening forms between a woman's bladder and vagina, resulting in urinary incontinence...

Congenital vesicovaginal fistula is an extreme rarity. We report on a case of a 22-year-old lady who presented with menouria and infertility...

..Although prevention should be the ultimate goal, the need for curative care services for the sufferers is shown to be significant...

..The risk of developing vesicovaginal fistula is more than 1% after radical surgery and radiotherapy for gynecologic malignancies...

To describe an effective and simple method for repairing complicated vesicovaginal fistula using a free bladder mucosal autograft.

..Once available, an outcome-based classification system could be vital in selecting fistula cases appropriate for training surgeons, and in improving communication with patients...

The most common cause of vesicovaginal fistula (VVF) in North America is injury to the bladder during a hysterectomy. In underdeveloped countries, childbirth is the leading etiology of these fistulae...

PURPOSE: The success rate of vesicovaginal fistula repair is improved by tissue interposition. The Martius flap produces reliable results but it has increased morbidity...

A 20-year-old nullipara presented with a post-coital vesicovaginal fistula in the trigone of the bladder. She had normal genital development and no other cause was found. The fistula was repaired by vaginal route.

Primary vesical calculi are uncommon in patients with vesicovaginal fistula (VVF). We retrospectively analyzed 19 such cases and present our experience with the management of this condition.

We report a case of failed vesicovaginal fistula repair and nonfunctioning right kidney, which was managed by laparoscopic nephrectomy and fistula repair with omental interposition in a single session.

We report here a case of vesicovaginal fistula, following radiation therapy and intensive local chemotherapy for recurrent endometrial cancer of the vaginal stump, which was ameliorated with fibrin glue...

..To compare the surgical outcome at discharge and at 6-months follow up in patients who underwent repair of obstetric fistulae with postoperative bladder catheterization for 10, 12, or 14 days...

..We recommend interposition flaps in transabdominal repairs of VVFs, even in the cases of benign fistulas with well-preserved surrounding tissue...

We report a rare case of bladder eversion through a vesicovaginal fistula. The bladder prolapse was almost complete, resulting in ureteral kinking, bilateral hydronephrosis and acute renal failure...

Abnormalities of the lower urinary and genital tracts commonly coexist, although congenital vesicovaginal fistula is extremely rare...

b>Vesicovaginal fistula (VVF) is one of the most devastating surgical complications that can occur in women. The primary cause remains an abdominal hysterectomy. Approach to this condition can be transvaginal or transabdominal...

b>Vesicovaginal fistula repair is most commonly undertaken via a transvaginal approach. We report a recurrent case of vesicovaginal fistula which was ultimately repaired using a laparoscopic approach...

..Under the diagnosis of vesicovaginal fistula, we performed transvaginal repair of the vesicovaginal fistula in November 2003...

..Gynecological and obstetric surgeries are not uncommon causes of iatrogenic injury of the urinary tract. Herein, we retrospectively report our experience with these injuries over the last 18 years...

..This study describes the demographic and clinical characteristics of 41 women with obstetric urinary fistulae. All were from poor socioeconomic backgrounds and had limited or no access to antenatal care...

..The severity of the neurovascular alterations associated with these lesions, as well as inescapable limitations in staff, health facilities, and supplies, make their optimal management very challenging...

..Recently a young lady presented to us with a huge VVF, associated with loss of the urethra and bladder neck, severe gynaetresia and recto-vaginal fistula. Her VVF was successfully managed by an appendico-vesiscostomy...

We report a rare case of a vesicovaginal fistula associated with secondary vaginal stones that was managed totally endoscopically.

Various surgical procedures are currently performed for the treatment of posthysterectomy vesicovaginal fistula. Most of them are carried out via an abdominal incision.

..A standardized terminology and classification, as well as a data reporting system on the surgical management of obstetric fistulas and its outcomes, are critical steps that need to be taken immediately...

..The incidence, prevention, and management of vesico-vaginal and recto-vaginal fistula are discussed. The authors call for more randomized controlled trials to determine the effectiveness of surgical interventions for fistula repair...

..Without external funding, these prerequisites are almost impossible to meet at rural district hospitals...

..To assess the efficacy of local infiltrative anesthesia with lidocaine hydrochloride in patients undergoing the surgical repair of a simple vesico-vaginal fistula...

..These cases were documented at the Barhirdar Hamlin Fistula Center in Northern Ethiopia...

..This is an exploratory analysis to investigate possible contributing factors to the development of vesicovaginal fistulae...

..Ongoing controversies associated with this technology, such as cost, learning curve, conversion rate to laparotomy, post-surgical fertility and complications, are briefly addressed. Long-term analysis of outcomes is ongoing...

..The multistage approach involves at least 3 surgical sessions, all associated with morbidity and sometimes with a colostomy procedure as well. The outcomes of the 1-stage approach were examined...

..As in all other areas of VVF care, more data are required before good treatment choices can be made for patients with inoperable VVFs...

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..The authors appreciate the technique used for its utmost reliability which warrants its greater complexity and surgical trauma compared to the other approaches for vesicovaginal fistula repair.

We report our experience of supratrigonal vesicovaginal fistula (VVF) repair cases developed after gynaecologic surgery...

..Technically, the involvement of all surgeons trained in fistula repair and an experience-based postoperative management protocol will relieve the disease burden carried by women living with fistulas in Nigeria...

..Birth attendants should be aware of that fact. Prompt referral for obstetric intervention should be made in obstructed labor, irrespective of the age and parity of the patient...

..To describe the profile of patients with vesico-vaginal fistula (VVF) and success rate of the surgery...

..Thirteen complex vesicovaginal fistulae were successfully closed by a technique of wide separation and water-tight closure of vagina from the urinary bladder and augmentation of the repair with a pedicled omental interposition flap...

Hospital and office charts of patients who underwent vaginal cuff scar excision for vesicovaginal fistula (VVF) repair from February 1998 to December 2002 at our institution were reviewed...

..Once a vesicovaginal fistula is suspected, a thorough vaginal examination should be performed to identify its size and location, ..

..The bladder defect is closed with a well vascularized ileal segment. Bladder capacity is enlarged simultaneously with good functional results. The procedure can be adapted to cases with concomitant damaged distal ureters...

..This technique is recommended for postmenopausal patients with a normal cervical smear and endometrial biopsy. It is easier, less time-consuming and less bloody than abdominal route repair. Vaginal capacity is preserved...

..To report the repair of genitourinary fistulae using a retropubic extraperitoneal transvesical approach using a support graft (free graft) from the anterior abdominal wall fat...

..The pathogenesis of vesicovaginal fistula formation remains unclear...

..In a few complex cases, however, the localization of the fistulous orifice may be extremely difficult...

..The patients are kept at the hospital for 14 days postoperatively for continuous bladder drainage...

The aim of this pilot study was to investigate the relationship between various types of laparoscopic bladder injuries and vesicovaginal fistula formation in an animal model.

..In a second approach, the persisting vesicovaginal fistula was closed by a right rectus abdominis myocutaneous flap while simultaneously reconstructing the anterior ..

..CONCLUSION: This study demonstrates the high rate of successful closure of the fistula in a specialised fistula unit, but highlights the problem of persistent urinary incontinence following closure...

..Because the number of women receiving tamoxifen may be increasing the authors include a review of its effects, with which all health care providers caring for women should be familiar...

..Under the diagnosis of vesicovaginal fistula due to vaginal foreign body, the cap was removed manually and transvaginal repair of the vesicovaginal ..

..To evaluate the incidence of and demographic characteristics associated with obstetric fistula in Eritrea. To determine the outcomes of surgical repair of complex fistula in Eritrea by a visiting surgical team...

..Vaginal approach is less aggressive, well accepted by patients and can lead to lower legal issues. Abdominal surgery is mandatory in complex situations, when the fistula is big (> 4 cm) or when ureteral orifices are involved...

..To ascertain if the Martius graft is of benefit to successful surgical outcome in obstetric fistula repair...

..As there was less available tissue, a 3 x 2-cm layer of oxidized cellulose was stitched between the bladder and the vaginal mucosa for reinforcement and to achieve a watertight closure of fistula...

..Retropubic dissection and drainage of the retropubic space is also not required...

..occurred in five patients: two hydronephroses, one urethral stricture, one ileo-cecal obstruction, and one vesicovaginal fistula. Twelve of the 17 patients (71%) over 12 years of age are normally menstruating...

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..We reviewed cases of genitourinary fistula resulting from birth trauma in Sierra Leone to determine factors predictive of successful operative repair...

..To evaluate the feasibility and morbidity of using saline filled tissue expanders (TE) to displace the small bowel during radiation therapy in patients with gynecologic malignancies...

..Among the varieties of genital fistula, 76.19% were vesicovaginal fistula, 11.90% were rectovaginal fistula and 4.76%, 4.76% and 2...