scholarly journals Vesico-Vaginal Fistula Repair by a Vaginal Approach

2021 ◽  
pp. 1-6
Author(s):  
Jorrit Colenbrander ◽  
John Heesakkers ◽  
Frank Martens
Keyword(s):  
Predictive Factors ◽  
Surgical Procedure ◽  
Patient Characteristics ◽  
Primary Objective ◽  
Surgical Approaches ◽  
Vaginal Fistula ◽  
Fistula Closure ◽  
Fistula Repair ◽  
Transvaginal Approach ◽  
Vesico Vaginal Fistula

<b><i>Introduction:</i></b> The aim of this study is to determine the outcome of surgically treated vesico-vaginal fistulae (VVaFs) using a transvaginal approach with a Latzko technique. <b><i>Methods:</i></b> A retrospective chart study was conducted at the Department of Urology, Radboud University Medical Centre. Surgical approaches to repair VVaF, from 2014 to September 2020, were selected. Patients who underwent a transvaginal approach were included. The primary objective was fistula closure. Secondary objectives were predictive factors for the outcome of the surgical procedure, for example, patient characteristics, leakage on cystography 2 weeks postoperative, and surgery time. <b><i>Results:</i></b> Thirty-one patients had surgery for VVaF. Twenty-five procedures (81%) were performed transvaginally. Thirteen of these (52%) had successful transvaginal closure after the first attempt. Seven out of 12 had their second attempt at the time of analysis, of which 4 (57%) were successfully closed thereafter. After either 1 or 2 attempts with the transvaginal approach, 17 (68%) of the VVaFs were successfully closed, but 79% if patients who did not yet had a second attempt were taken into account with the current success extrapolated. Only few minor complications were observed. <b><i>Conclusion:</i></b> Transvaginal closure of VVaFs with a Latzko technique is successful in about 79% in either 1 or 2 attempts, with few minor complications. A second attempt in closing the fistula with a transvaginal approach is useful, and a previous transvaginal attempt is not a contraindication for a second transvaginal attempt in closing the VVaF surgically.

scholarly journals VESICO-VAGINAL FISTULA: EXPERIENCE OF 11 YEARS

2013 ◽  
Vol 20 (1) ◽  
Author(s):  
Taufik Rakhman Taher ◽  
Zulfikar Zulfikar ◽  
Irfan Wahyudi ◽  
Arry Rodjani
Keyword(s):  
Surgical Approach ◽  
Surgical Repair ◽  
Vaginal Fistula ◽  
Fistula Repair ◽  
Transvaginal Approach ◽  
Excellent Outcome ◽  
Common Location ◽  
Common Etiology ◽  
Vesico Vaginal Fistula ◽  
Obstetrical Trauma

Objective: To evaluate the outcome of surgical repair in patients with vesico-vaginal fistula at Cipto Mangunkusumo Hospital. Material & Method: A retrospective study of 30 patients with vesico-vaginal fistula, who underwent surgical repair of the fistula at Urology Department Cipto Mangunkusumo Hospital between the period of 1998-2008, were reviewed. Patients were analyzed with regard to age, location of fistula, etiology, size of fistula, and surgical approach. The outcome of the surgery was analyzed. Results: This study included 30 patients who underwent surgery with age between 18-69 years old. The most common etiology was due to obstetrical trauma and hysterectomy. Bladder trigone was the most common location of fistulae (40%). During the surgery the transvesical (43%) approach was commonly used. However, the most excellent outcome was surgery by transvesical-transvaginal approach (100%). Success rate of fistula repair was 73%. Conclusion: This disease is a medically and psychosocially devastating condition for the patient. The diagnosis was easy but complicated in decision of treatment. Best results were observed by transvesical-transvaginal approach. Keywords: Vesico-vaginal fistulae, surgical approach, surgical outcome.

V-GYN-PE/AD-MD-076 Pediatric Laparoscopic Congenital Vesico-vaginal Fistula Repair for Vaginal Agenesis

2016 ◽  
Vol 38 (5) ◽  
pp. 483
Author(s):  
L. Allen ◽  
Frank J. Penna ◽  
Paul R. Bowlin ◽  
Rakan I. Odeh ◽  
Walid A. Farhat
Keyword(s):  
Vaginal Fistula ◽  
Fistula Repair ◽  
Vaginal Agenesis ◽  
Vesico Vaginal Fistula

scholarly journals Simple and effective: transvaginal vesico-vaginal fistula repair with a modified Latzko technique

2017 ◽  
Vol 29 (5) ◽  
pp. 767-769 ◽  
Author(s):  
Olivia Cardenas-Trowers ◽  
John Heusinkveld ◽  
Kenneth Hatch
Keyword(s):  
Vaginal Fistula ◽  
Fistula Repair ◽  
Vesico Vaginal Fistula

scholarly journals Robotic vesico-vaginal fistula repair with no omental flap interposition

2016 ◽  
Vol 27 (8) ◽  
pp. 1277-1278 ◽  
Author(s):  
Alberto Martini ◽  
Eugenio Dattolo ◽  
Jacopo Frizzi ◽  
Donata Villari ◽  
Maria Cristina Paoletti
Keyword(s):  
Omental Flap ◽  
Vaginal Fistula ◽  
Fistula Repair ◽  
Vesico Vaginal Fistula

Robot-assisted Vesico-vaginal Fistula Repair: A Compilation

Urology ◽  
2018 ◽  
Vol 119 ◽  
pp. 1-4 ◽  
Author(s):  
Aditya P. Sharma ◽  
Ravimohan M. Mavuduru, ◽  
Girdhar S. Bora ◽  
Sudheer K. Devana ◽  
Shrawan K. Singh ◽  
...  
Keyword(s):  
Vaginal Fistula ◽  
Fistula Repair ◽  
Robot Assisted ◽  
Vesico Vaginal Fistula

scholarly journals Profile of Obstetric and Iatrogenic Fistula Surgeries at Kathmandu Model Hospital

2018 ◽  
Vol 13 (2) ◽  
pp. 19-22
Author(s):  
Ranjana Shrestha ◽  
Aruna Karki ◽  
Ganesh Dangal ◽  
Hema Pradhan ◽  
Kabin Bhattachan ◽  
...  
Keyword(s):  
Primary Outcome ◽  
Obstetric Fistula ◽  
Sexual Life ◽  
Successful Outcome ◽  
Urinary Continence ◽  
Vaginal Fistula ◽  
Fistula Repair ◽  
Fistula Surgery ◽  
Prolonged Labor ◽  
Vesico Vaginal Fistula

Aims: Vesico-vaginal fistula (VVF) is an abnormal fistulous communication between the bladder and/or urethra and the vagina that allows continuous involuntary discharge of urine into the vaginal vault affecting patients’ medical, physical, mental, social and sexual life. The aim of this study was to review and deliver a profile, their demography and outcome in the early phase of fistula surgery performed in our institute. Methods: This was a retrospective study of 222 patients who underwent fistula surgery during the period of January 2012 to March 2018 in Kathmandu Model Hospital. The fistula were classified according to Goh`s system.  Patients’ demography, obstetric characteristics and fistula repair outcomes were reviewed. The primary outcome was in terms of urinary continence. Results: A total of 222 women aged between 10 to 65 years with a mean age of 31.4 were included. Majority of the patients had fistula due to obstetrical cause, contributing 58% (n=127) and in 42 % (n=95) of patients had fistula of gynecological etiology. Most of the patients had fistula of type 1a, contributing 38% (n=84) and only 0.01% (n=3) of type 3c and 4b according to Goh’s classification. Among 127 fistulas repaired of obstetric etiology100 (78.7%) patients and 85 (89.4%) out of 95 fistula patients of gynecological cause were continent and dry. Conclusions:  Our study showed obstructed and prolonged labor was the major cause of obstetric fistula, however iatrogenic fistula was also becoming common. Majority of our cases had successful outcome with some degree of stress in some patients.

Vaginal flap re-enforcement of vesico-vaginal fistula repair

2010 ◽  
Vol 21 (7) ◽  
pp. 829-833 ◽  
Author(s):  
Mohamed S. Shoukry ◽  
Mohamed E. Hassouna ◽  
Salah El-Salmy ◽  
Aly M. Abdel-Karim
Keyword(s):  
Vaginal Fistula ◽  
Fistula Repair ◽  
Vesico Vaginal Fistula
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