Natural Orifice Transurethral Endoscopic Vesicovaginal Fistula (NOTE-VVF) Treatment for Early and Small Fistulas: Case Report and the Point of Technique

Demirtaş, Abdullah; Sönmez, Gökhan; Tombul, Şevket Tolga; Golbasi, Abdullah; Demirtaş, Türev

doi:10.7759/cureus.23786

Cited by 1 publication

(1 citation statement)

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“…Subsequently, the VVF line was sutured at 1-2 mm intervals, and the bladder side was closed using 4/0 absorbable loop back v-loc sutures that were advanced into the bladder through the working trocar. In this case, VVF repair was performed with the NOTE-VVF treatment technique and reported a good outcome [60].…”

Section: Current Trends In Surgical Management and Surgical Technicsmentioning

confidence: 90%

Vesicovaginal Fistulas: Prevalence, Impact, and Management Challenges

Chinthakanan,

Sirisreetreerux,

Saraluck

2023

Medicina

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Background and Objectives: Vesicovaginal fistulas (VVFs) are an abnormal communication between the vagina and bladder and the most common type of acquired genital fistulas. This review will address the prevalence, impact, and management challenges of VVFs. Materials and Methods: Epidemiologic studies examining VVFs are considered. In addition, publications addressing the treatment of VVFs are reviewed. Results: VVFs in developing countries are often caused by obstructed labor, while most VVFs in developed countries have iatrogenic causes, such as hysterectomy, radiation therapy, and infection. The reported prevalence of VVFs is approximately 1 in 1000 post-hysterectomy patients and 1 in 1000 deliveries. VVFs affect every aspect of quality of life, including physical, mental, social, and sexual aspects. Prevention of VVFs is essential. Early diagnosis is necessary to reduce morbidity. Nutrition, infection control, and malignancy detection are important considerations during evaluation and treatment. Conservative and surgical treatment options are available; however, these approaches should be customized to the individual patient. The success rate of combined conservative and surgical treatments exceeds 90%. Conclusions: VVFs are considered debilitating and devastating. However, they are preventable and treatable; key factors include the avoidance of prolonged labor, careful performance of gynecologic surgery, and early detection.

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Section: Current Trends In Surgical Management and Surgical Technicsmentioning

confidence: 90%