scholarly journals Intravesical repair of vesicovaginal fistula guided by cystoscopy

2021 ◽  
Vol 13 (2) ◽  
pp. 175-178
Author(s):  
M.A. Tavares ◽  
S. Campagne Lpiseau ◽  
M. Canis ◽  
R. Botchorishvili
Keyword(s):  
Vesicovaginal Fistula ◽  
Invasive Procedure ◽  
Hybrid Technique ◽  
Laparoscopic Instruments ◽  
Fistula Recurrence ◽  
Transvesical Approach ◽  
Vesicovaginal Fistulas ◽  
Industrialised Countries ◽  
Unusual Problem

Background: Vesicovaginal fistulas (VVF) are an unusual problem that may significantly affect a patient’s quality of life. The main causes for this condition are labour complications (mostly in developing countries) and pelvic surgeries (in industrialised countries). Treatment may be conservative or surgical. Regarding surgical treatment, there is still debate about the best approach and surgical technique. Objective: To demonstrate a correction of a VVF guided by cystoscopy using intravesical laparoscopic instruments. Methods: Case report and surgical video of a recurrent VVF treated with a hybrid technique involving direct transvesical insertion of 3 mm laparoscopic trocars and instruments guided by cystoscopy. As far as we know, although there are some reported techniques that use a combination of transvesical laparoscopic instruments and cystoscopy, this is the least invasive and most ergonomic technique described. Results: Two years after surgery, the patient remains asymptomatic and with no fistula recurrence. Conclusion: The transvesical approach guided by cystoscopy seems to be an effective, safe and ergonomic minimally invasive procedure for VVF repair.

scholarly journals Robot-Assisted Infratrigonal Vesicovaginal Fistula Repair

2019 ◽  
Vol 2019 ◽  
pp. 1-4 ◽  
Author(s):  
João Pádua Manzano ◽  
Fábio da Silva Crochik ◽  
Felipe Guimarães Pugliesi ◽  
Renato Vasconcelos Souza de Almeida ◽  
Petronio Augusto de Souza Melo ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cervical Cancer ◽  
Vesicovaginal Fistula ◽  
Fistula Repair ◽  
Robot Assisted ◽  
Disease Treatment ◽  
Case Presentation ◽  
Genitourinary Fistula ◽  
Vesicovaginal Fistulas

Background. Although relatively rare, vesicovaginal fistula is the most common genitourinary fistula, causing a significant decrease in patients’ quality of life. Location of fistula is major supratrigonal, with some cases located in the trigone and rarely below it. Disease treatment is surgical, and repair can be performed by several techniques, including robot-assisted. Case Presentation. We present a case of a patient who developed an infratrigonal vesicovaginal fistula after treatment of a cervical cancer. The patient was submitted to robotic repair of the vesicovaginal fistula. Conclusion. The use of robot-assisted laparoscopy is expanding over all areas of urology and its applicability to repair vesicovaginal fistulas brings good results.

EVALUATION OF SHORT AND LONG TERM BENEFITS/SIDE EFFECTS OF CEMENT AUGMENTATION IN PATIENTS WITH NON INFECTIVE PATHOLOGICAL OSTEOPOROTIC VERTEBRAL COMPRESSION FRACTURES

2020 ◽  
pp. 44-48
Author(s):  
Abhay Singh ◽  
Rahul Gupta ◽  
Shachi Shachi
Keyword(s):  
Quality Of Life ◽  
Side Effects ◽  
Pain Relief ◽  
Vertebral Compression Fracture ◽  
Compression Fracture ◽  
Cement Augmentation ◽  
Vertebral Compression Fractures ◽  
Hybrid Technique

BACKGROUND: Vertebral compression fracture usually occurs in old age population with osteoporosis. Due to severity of pain, quality of life becomes very poor. During the study period 67 patients fullling the eligibility cri METHODS: teria underwent vertebroplasty/ kyphoplasty/ cement augmented screw xation/ hybrid procedures were included. Short term and long term benets /side effects were evaluated in all patients. Patients were evaluated on visual analogue score and modied ranking scale. RESULTS: Vertebroplasty was performed in 26(38.8%) whereas kyphoplasty, cement augmented screw xation and hybrid procedure were performed in 18(26.8%), 17(25.4%) and 6(9.0%) respectively. Signicant pain relief occurred in all patients which were evaluated by Visual Analogue Scale. Quality of life also improved which was evaluated with Modied Rankin Scale. In our study, complications which occurred were local cement leak, hematoma formation, infection in 8 (11.9%), 3(4.5%) and 2(3.0%) patients respectively. Use of biological cement has revolutionized CONCLUSION: the management of vertebral compression fracture. Both vertebroplasty and kyphoplasty procedures which are minimal invasive, almost cure the non infective pathological fractures with instant pain relief and very low procedure related morbidity. In cases requiring xation, cement augmentation signicantly improves the purchase of the screw and makes the construct more reliable. Hybrid technique helps to prevent extensive long level xation.

Resection and reconstruction of idiopathic scrotal elephantiasis: surgical approach and quality of life assessment

2021 ◽  
Vol 14 (10) ◽  
pp. e244018
Author(s):  
Hasan Gökcer Tekin ◽  
Karin Andersen ◽  
Vivi Bakholdt ◽  
Jens Ahm Sørensen
Keyword(s):  
Quality Of Life ◽  
Surgical Treatment ◽  
Surgical Intervention ◽  
Life Assessment ◽  
Quality Of Life Assessment ◽  
Assess Patient Satisfaction ◽  
Industrialised Countries ◽  
Disease Specific

Scrotal elephantiasis (SE) is a condition considered rare in western industrialised countries but common in filaria prone regions. If no apparent causes are found for SE, it is called idiopathic SE. Medical and conservative therapies are ineffective against idiopathic SE, and surgical intervention is mandatory to treat this disabling condition. Nevertheless, it remains unclear whether surgical intervention improves quality of life among patients with idiopathic SE. Herein, we report a case of a 41-year-old man who underwent acute scrotal resection and reconstruction, secondary to haemorrhage from his idiopathic SE. The aim of this study was to describe the operative approach and assess patient satisfaction after surgical treatment. The patient had no recurrence of SE after surgical treatment at 6 months follow-up and had considerable improvements assessed by general and disease-specific quality of life questionnaires.

scholarly journals Vesicovaginal Fistula After Fourteen Years of Pelvic Radiation

2018 ◽  
Vol 13 (2) ◽  
pp. 60-62
Author(s):  
Kenusha Devi Tiwari ◽  
Aruna Karki ◽  
Ganesh Dangal ◽  
Hema Pradhan ◽  
Ranjana Shrestha ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cervical Cancer ◽  
Radiation Therapy ◽  
Radical Hysterectomy ◽  
Vesicovaginal Fistula ◽  
Fistula Repair ◽  
Pelvic Radiation ◽  
Advanced Cervical Carcinoma

Radiation therapy is an effective treatment for cervical cancer. However, of various complications, irradiation sometimes can cause formation of fistula between vagina and bladder and or rectum compromising the quality of life. Pelvic radiation is the primary cause of delayed vesicovaginal fistula with incidence of 13% in well-resourced countries and 0.2% in low resourced countries. Majority of them become apparent 1.5-2 years after completion of radiotherapy and can occur even up-to 20-30 years after the original insult. A 63 years’ female visited our outpatient department for involuntary loss of urine per vagina for 1.5 years. She had undergone radical hysterectomy and radiotherapy 16 years ago for an advanced cervical carcinoma. With positive dye test, she had vesicovaginal fistula with Goh classification of 1biii. She underwent simple fistula repair via vaginal approach. After three weeks of catheterization, successful closure was achieved.

Psychosocial needs of children undergoing an invasive procedure for a CHD and their parents

2016 ◽  
Vol 27 (2) ◽  
pp. 243-254 ◽  
Author(s):  
Eveline M. Levert ◽  
Willem A. Helbing ◽  
Karolijn Dulfer ◽  
Ron T. van Domburg ◽  
Elisabeth M. W. J. Utens
Keyword(s):  
Quality Of Life ◽  
Cardiac Surgery ◽  
Health Care Professionals ◽  
Psychosocial Care ◽  
Invasive Procedure ◽  
Care Quality ◽  
Catheter Intervention ◽  
Psychosocial Needs ◽  
Parents And Children

AbstractObjectiveThe aim of this study was to investigate the psychosocial needs of both parents of children with CHD (aged 0–18 years) and patients themselves (aged 8–18 years) in the week before cardiac surgery or a catheter intervention.PatientsEligible participants included all consecutive patients (0–18 years) scheduled to undergo cardiac surgery or a catheter intervention in our hospital between March, 2012 and July, 2013. Psychosocial needs were assessed using a disease-specific questionnaire designed for this study, consisting of a 83-item parent version and a 59-item child version (for children ⩾8 years), each covering five domains: physical/medical, emotional, social, educational/occupational, and health behaviour; two items assessed fromwhomand in whatformatpsychosocial care was preferred. Quality of life was also assessed.InterventionsIf parents/patients reported a need for psychosocial care, referral to adequate mental health-care professionals was arranged.ResultsMore than 40% of participatingparentsand >50% of participatingchildrenreported a need for psychosocial care on each of the five domains. Needs for psychosocial care forparents themselveswere highest for those with children aged 0–12 years. Parents and patients report clear preferences when asked fromwhomand in whatformatthey would like to receive psychosocial care. Quality of life was relatively high for both parents and patients. Psychosocial care interventions in our hospital increased significantly after the implementation of this study.ConclusionsResults show that psychosocial care is rated as (very) important by both parents and children during an extremely stressful period of their life.

scholarly journals Multilevel percutaneous vertebroplasty: safety, efficacy and long-term outcomes

2021 ◽  
Vol 8 (1) ◽  
pp. 54
Author(s):  
Sibasankar Dalai ◽  
Aravind V. Datla
Keyword(s):  
Percutaneous Vertebroplasty ◽  
Invasive Procedure ◽  
Cost Effective ◽  
Cement Leakage ◽  
Effective Procedure ◽  
Vertebral Compression Fractures ◽  
Rapid Restoration ◽  
Reduced Mobility

<p><strong>Background:</strong> The pain in vertebral compression fractures is severe, leading to reduced mobility and quality of life. Percutaneous vertebroplasty is a minimally invasive procedure for treating various spinal pathologies. This study evaluated the usefulness and safety of multilevel PVP (two to three vertebrae) in managing VCF.</p><p><strong>Methods:</strong> This retrospective study evaluated 59 vertebral levels in 28 patients with VCF who had been operated on for multilevel PVP (two to three levels). There were 22 females and six males, and their ages ranged from 36 to 79 years, with a mean age of 68.95 years. We had injected two levels in 25 patients and three levels in 3 patients. The visual analogue scale was used for pain intensity measurement, and plain X-ray films, computed tomography scan and magnetic resonance imaging was used for radiological assessment. The mean follow-up period was 13.8 months (range, 11-19).</p><p><strong>Results:</strong> Significant pain improvement was recorded in 26 patients (92.85%). More remarkable improvement in pain was noticed in the immediate postoperative period than in the subsequent follow-ups. Asymptomatic bone cement leakage anteriorly and into the disk spaces in two patients. Isolated anterior leakage has occurred in one patient. There was no encounter of pulmonary embolism.</p><p><strong>Conclusions:</strong> Multilevel PVP for the treatment of VCF is a safe and effective procedure that can significantly reduce pain and improve patient condition without any significant morbidity. It is considered a cost-effective procedure allowing a rapid restoration of patient mobility.</p><p> </p>

scholarly journals A Study on Different Surgical Methods used for Repair of Vesicovaginal Fistulas in Dhaka Medical College Hospital

1970 ◽  
Vol 22 (1) ◽  
pp. 12-14
Author(s):  
Rhea Homaira ◽  
Sabera Khatun ◽  
Fahmida Zabin
Keyword(s):  
Vesicovaginal Fistula ◽  
Cross Sectional Study ◽  
Medical College Hospital ◽  
Previous Attempt ◽  
Modified Technique ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Surgical Methods ◽  
Vesicovaginal Fistulas

This cross sectional study was carried out on hundred patients of vesicovaginal fistula who were admitted and underwent surgical treatment in Dhaka Medical college Hospital (DMCH), Dhaka, during the period of January, 2001 to June, 2003. The aim of this study was to obtain the outcome of the different methods of repair of different types of vesicovaginal fistula. An in-depth interview was taken from patients by using an open ended questionnaire. Necessary information about the procedure applied, together with results of operation were recorded in the data sheet. The result of this study showed that the anatomical success in closure of fistula occurred in 94% cases. In 38% of cases the size of the fistula were small in size, in 49% cases location were at the Junction of bladder neck, 78% of cases experienced no postoperative complications. Route of operation were vaginal in 84% cases. Previous attempt of repair were in 62% cases whereas in 38% women had history of operation. Obstetric vesicovaginal fistula is a curable condition. The success rate has been increased over time. More complicated cases which have been failed in previous attempts of repair are being referred. Most of the unsuccessful repair were bad cases (2%). So more training and experience of surgeons for repair of fistulas, employing modified technique wherever applicable can improve the result. DOI: 10.3329/medtoday.v22i1.5598 Medicine Today Vol.22(1) 2010. 12-14

Sign in / Sign up

Export Citation Format

Share Document