Laparoscopic Repair of Vesicovaginal Fistula

Ou, Chau-Su; Huang, U-Chen; Tsuang, Mary; Rowbotham, Ron

doi:10.1089/109264204322862306

Cited by 86 publications

(51 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Various studies in literature have reported the rate of bladder injury following hysterectomy as 0.05-8.3% (20)(21)(22)(23)(24). The rate of fistula secondary to hysterectomy varies depending on the hysterectomy type.…”

Section: Discussionmentioning

confidence: 99%

Retrospective Analysis of Patients with Genitourinary Fistula

Başaranoğlu¹,

Deregözü

Hatırnaz³

et al. 2017

Gynecol Obstet Reprod Med

View full text Add to dashboard Cite

OBJECTIVE: To present the outcomes of patients treated at a tertiary center for a diagnosis of genitourinary fistula secondary to gynecological and obstetric etiologies. STUDY DESIGN:In this retrospective study, analysis was made of 18 patients with a diagnosis of genitourinary fistula in a tertiary center between January 2006 and June 2016. Patient data were taken from the archives and patient histories. A record was made of examinations, diagnostic methods such as cystoscopy and fistulography and appropriate medical treatments, demographic data, intraoperative and post-operative complications, duration of hospital stay, surgical operations and types, diameter and location of fistulas. RESULTS:Of the 18 cases, 14 were secondary to obstetric trauma. In 10 of these 14 cases, fistula had developed after difficult vaginal delivery and in four cases, after caesarean section. Four of the 18 cases were secondary to gynecological surgeries, namely hysterectomy and cystocele repairs. Vesicovaginal fistulas were repaired transvaginally while vesicouterine fistulas and bilateral ureterovaginal fistulas were repaired transabdominally. The mean hospital stay was 3.8±1.5 days (2-7 days). Patients were followed up closely in the first 3 months and recurrence developed in only one case. CONCLUSION:Fistulas secondary to gynecological procedures are uncommon while fistulas secondary to inadequate perineal care, insufficient labor monitoring and difficulties in vaginal delivery techniques are more prevalent in Turkey. Thorough evaluation, using all diagnostic tools for complete diagnosis, understanding the pathophysiology and choosing the best surgical procedure are mandatory to obtain good outcomes after the surgical

show abstract

Section: Discussionmentioning

confidence: 99%

Retrospective Analysis of Patients with Genitourinary Fistula

Başaranoğlu¹,

Deregözü

Hatırnaz³

et al. 2017

Gynecol Obstet Reprod Med

View full text Add to dashboard Cite

show abstract

“…They concluded that laparoscopic VVF repair was feasible, safe and effective and it was a viable alternative to the traditional open procedure. Similarly Ou et al [13] described a methodology for laparoscopic repair of vesicovaginal fistula and compared with open repairs. A total of 16 patients were diagnosed with post-hysterectomy VVF.…”

Section: Discussionmentioning

confidence: 99%

“…Compared with the O'Conortrans abdominal approach, laparoscopic repair is reported to be associated with less surgical trauma, shorter convalescence, and lower morbidity [2][3][4]. Laparoscopic VVF repair would appear more useful and convenient in certain scenarios such as in the setting of a high VVF in which a vaginal operation would be anatomically challenging.…”

Section: Introductionmentioning

confidence: 99%

Transvesicoscopic Repair of Vesicovaginal Fistula: Short Term Follow-Up

Guntaka¹,

Nerli²,

Reddy³

et al. 2014

J Women's Health Care

View full text Add to dashboard Cite

show abstract

“…Laparoscopic repair of VVF is an alternative way for traditional open surgery, and has short convalescence period and less morbidity. [2][3][4][5] According to the recent data,…”

Section: Introductionmentioning

confidence: 99%