Repair of Vesicovaginal Fistula by a Suprapubic Transvesical Approach

Vesico-vaginal fistula: report of 220 cases

“…The success rate is 80-90% [13][14][15][16]. Interposition of well-vascularized omental or peritoneal flaps between the bladder and the uterus is recommended for prevention of relapse and for treatment of giant VVF, i.e.…”

Martius Repair in Urethrovaginal Defects

“…They can also occur after the operations that involve the urethra and vagina such as urethral diverticulectomy or anterior vaginal repair, pelvic fractures, vaginal or urethral malignancies (especially after radiotherapy), and radical operations such as Wertheim operation [3,4]. The causes are mostly trauma, infection, or cloacal malformations in children as seen in our cases.…”

Urinary fistulas: What does the evidence say?

“…This is the postoperative period when most fi stulas present, often complicated by infection and induration, thereby making closure diffi cult. Classic literature has advocated waiting 3 to 6 months after the wound healing process is completed to allow epithelial maturation of the fi stula tract and demarcation of ischemia area [18][19][20]. Longer waiting periods of 9 to 12 months have been recommended for complex fi stulas associated with radiation and obstetric trauma.…”