Letter to “Prolene tape in the bladder wall after TVT procedure—intramural tape placement or secondary tape migration?” and “Vaginal wall erosion after transobutrator tape procedure”

2005 ◽  
Vol 17 (3) ◽  
pp. 303-304 ◽  
Author(s):  
Alex C. Wang
Keyword(s):  
Bladder Wall ◽  
Vaginal Wall ◽  
Tvt Procedure

scholarly journals TWO CASES OF BLADDER PROLENE® TAPE EXPOSURE AFTER TVT PROCEDURE

2010 ◽  
Vol 16 (1) ◽  
pp. 9
Author(s):  
M. Tamburello ◽  
V. Farruggia ◽  
S.M. Rubino
Keyword(s):  
Stress Incontinence ◽  
Bladder Wall ◽  
Tvt Procedure ◽  
Tvt Sling ◽  
Urinary Problems

Two cases of bladder exposure of TVT sling material at 23 and 12 months after the implantation are reported. In both cases the urinary problems developed immediately after the TVT procedure and only few millimetres of one arm of the sling were exposed into the bladder. It is assumed therefore that the graft was inserted into the bladder lumen or into the bladder wall during the procedure rather than rejected. The whole sling was removed and both patients were cured of dysuria but in one recurrence of stress incontinence was noted.

scholarly journals Extraperitoneally Ruptured, Everted, and Prolapsed Bladder: A Very Rare Complication of Pelvic Injury

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Rufus Wale Ojewola ◽  
Kehinde Habeeb Tijani ◽  
Olakunle Olaleke Badmus ◽  
Abisola Ekundayo Oliyide ◽  
Chukwudi Emmanuel Osegbe
Keyword(s):  
Rare Complication ◽  
Bladder Wall ◽  
Vaginal Wall ◽  
Pelvic Injury ◽  
Traumatic Rupture ◽  
Perineal Laceration ◽  
Surgery Patient ◽  
Perineal Defect ◽  
Rupture Of The Bladder ◽  
Pelvic Disruption

Traumatic rupture of the bladder with eversion and protrusion via the perineum is a rare complication of pelvic injury. We present a 36-year-old lady who sustained severe pelvic injury with a bleeding right-sided deep perineal laceration. She had closed reduction of pelvic fracture with pelvic banding and primary closure of perineal laceration at a private hospital. She subsequently had dehiscence of repaired perineal laceration with protrusion of fleshy mass from vulva and leakage of urine per perineum five weeks later. Examination revealed a fleshy mucosa-like mass protruding anteriorly with a bridge of tissue between it and right anterolateral vaginal wall. Upward pressure on this mass revealed the bladder neck and ureteric orifices. She had perineal and pelvic exploration with findings of prolapsed, completely everted bladder wall through a transverse anterior bladder wall rent via the perineum, and an unstable B1 pelvic disruption. She had repair of the ruptured, everted, and prolapsed bladder, double-plate and screw fixation of disrupted pelvis and repair of the pelvic/perineal defect. She commenced physiotherapy and ambulation a week after surgery. Patient now walks normally and is continent of urine. We conclude that the intrinsic urethral continent mechanism plays a significant role in maintaining continence in females.

scholarly journals Closure of large vesicovaginal fistulas by transplantation of the bladder wall

2020 ◽  
Vol 6 (4) ◽  
pp. 422-423
Author(s):  
A. Brandt
Keyword(s):  
Urinary Bladder ◽  
Pelvic Floor ◽  
Bladder Wall ◽  
Vaginal Wall ◽  
Vesicovaginal Fistulas

With large defects in the bottom of the urinary bladder, extensive adhesions of the edges of the fistulas directly with the bony walls of the pelvic floor, or with fixation of the uterus posteriorly, resp. to the sides, as well as in the absence of the anterior lip of the vaginal part or the lower part of the uterus with an existing utero-cystic fistula, it is possible to use the Trendelenburg method to close the defects, transplant a flap from the opposite fistula of the vaginal wall, or release the bladder over a large extent from surrounding parts and apply for transplantation of the wall of the urinary bladder itself.

Prolene tape in the bladder wall after TVT procedure—intramural tape placement or secondary tape migration?

2004 ◽  
Vol 16 (1) ◽  
pp. 75-76 ◽  
Author(s):  
Igor But ◽  
Dejan Bratuš ◽  
Metka Faganelj
Keyword(s):  
Bladder Wall ◽  
Tvt Procedure

scholarly journals Repair of vesicovaginal fistula caused by radiation therapy with labia maiora skin flap

2010 ◽  
Vol 138 (5-6) ◽  
pp. 356-361 ◽  
Author(s):  
Dusan Stanojevic ◽  
Miroslav Djordjevic ◽  
Francisko Martins ◽  
Jovan Rudic ◽  
Marija Stanojevic ◽  
...  
Keyword(s):  
Vesicovaginal Fistula ◽  
Skin Flap ◽  
Bladder Wall ◽  
Fibrous Tissue ◽  
Good Alternative ◽  
Vaginal Wall ◽  
Satisfactory Outcome ◽  
Irradiation Therapy ◽  
Fistula Recurrence ◽  
The Mean

Introduction Vesicovaginal fistula can occur after delivery, gynaecologic or urologic surgery, irradiation therapy or as destruction caused by a tumour or trauma. The main problem after irradiation is decreased elasticity of the tissue around the fistula. We present our experience in the treatment of three patients with vesicovaginal fistula using a labia maiora skin flap. Case Outline From May 2007 to January 2008 three patients with vesicovaginal fistula were treated using labia maiora skin flap. The fistulae occurred after mean 19 months (11, 20 and 26 months) following irradiation therapy applied to treat malignant disease. The mean age of the patients was 54 years (47, 53 and 62 years). The mean diameter of the fistulae was 3.5 cm (2, 4 and 4.5 cm). Using transvaginal approch, all devitalized and fibrous tissue was removed with the closure of the bladder wall. The labia maiora skin flap with good vascularization was transposed to close the defect and anastomozed to the vagina. The mean follow-up was 16 months (13, 17 and 18 months). Labia maiora skin flap size was mean 3.7 cm (2.6, 3.7 and 4.8 cm). We achieved satisfactory outcome in all patients. There were neither postoperative complications nor fistula recurrence. Conclusion Labia maiora skin flap presents a good alternative for surgical treatment of vesicovaginal fistula. The flap is more adequate for larger defects and for the repair of fibrously changed vaginal wall which is present after irradiation therapy. .

Method of lateral suturing of large vesicovaginal fistulas

1929 ◽  
Vol 25 (2) ◽  
pp. 234-235
Author(s):  
I. Tsimkhes
Keyword(s):  
Soft Tissues ◽  
Direct Action ◽  
Bladder Wall ◽  
Side Wall ◽  
Suture Line ◽  
Vaginal Wall ◽  
The Other ◽  
Cystic Wall ◽  
Entire Thickness ◽  
Vesicovaginal Fistulas

Since the main reason for failures with plastic methods is the direct action of urine on the suture line, Dr. side, up and to the side, where urine cannot reach with a catheter demeure. The technique is briefly as follows: there is no need to stretch the cervix, you can successfully operate in depth. The edges of the fistula are cut obliquely throughout. Then, capturing the refreshed edge of one side of the vaginal wall with the coher, the entire thickness of the vaginal wall is separated from the entire thickness of the bladder wall to the exposure of the soft tissues of the thigh. The same is done on the other side. As a result, 4 mobilized flaps are obtained, each of which consists separately of the cystic and separately of the vaginal wall, separated from each other. Both refreshed edges of the cystic wall are sutured to the soft tissues of the thigh. After the cystic walls are sewn to the side wall, the vaginal wall is sutured.

906: Pelvicol Implants for Prevention of Anterior Vaginal wall Prolapse: Randomized Multicenter Study

2006 ◽  
Vol 175 (4S) ◽  
pp. 293-293
Author(s):  
Ervin Kocjancic ◽  
Paolo Pifarotti ◽  
Fabio Magatti ◽  
Francesco Bernasconi ◽  
Diego Riva ◽  
...  
Keyword(s):  
Multicenter Study ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Anterior Vaginal Wall Prolapse

1202: The Value of Bladder Wall Thickness Measurement in the Assessment of Voiding Dysfunction

2005 ◽  
Vol 173 (4S) ◽  
pp. 326-326
Author(s):  
Lewis Chan ◽  
Jehan Titus ◽  
Vincent Tse ◽  
Ruth Collins
Keyword(s):  
Wall Thickness ◽  
Voiding Dysfunction ◽  
Bladder Wall ◽  
Thickness Measurement ◽  
Bladder Wall Thickness ◽  
Wall Thickness Measurement
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