Repair of vesicovaginal fistula caused by radiation therapy with labia maiora skin flap

Stanojević, D.; Djordjević, Miroslav L.; Martins, Francisko; Rudic, Jovan; Stanojevic, Marija; Bizic, M.; Majstorovic, M.; Kojović, V.

doi:10.2298/sarh1006356s

Cited by 4 publications

(2 citation statements)

References 4 publications

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“…Radiation therapy for cervical, endometrial, or multifocal cancer can induce fistula and decrease the elasticity of surrounding tissues [ 2 , 24 , 25 ]. Radiotherapy caused 4.6% (4/87) of fistulas reported by one tertiary fistula center in South Africa; the much lower proportion in our population likely reflects comparatively low access to cancer treatment [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

Rare causes of genital fistula in nine African countries: a retrospective review

Ngongo

Raassen²,

Mahendeka

et al. 2022

BMC Women's Health

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Background Most genital fistulas result from prolonged, obstructed labor or surgical complications. Other causes include trauma (from accidents, traditional healers, or sexual violence), radiation, carcinoma, infection, unsafe abortion, and congenital malformation. Methods This retrospective records review focuses on rare fistula causes among 6,787 women who developed fistula after 1980 and sought treatment between 1994 and 2017 in Tanzania, Uganda, Kenya, Malawi, Zambia, Rwanda, Ethiopia, Somalia, and South Sudan. We compare fistula etiologies across countries and assess associations between rare causes and type of incontinence (urine, feces, or both). Results Rare fistula accounted for 1.12% (76/6,787) of all fistulas, including traumatic accidents (19/6,787, 0.28%), traumatic sexual violence (15/6,787, 0.22%), traumatic injuries caused by traditional healers (13/6,787, 0.19%), unsafe abortion (10/6,791, 0.15%), radiation (8/6,787, 0.12%), complications of HIV infection (6/6,787, 0.09%), and congenital abnormality (5/6,787, 0.07%). Trauma caused by traditional healers was a particular problem among Somali women. Conclusion Fistulas attributable to rare causes illuminate a variety of risks confronting women. Fistula repair training materials should distinguish trauma caused by traditional healers as a distinct fistula etiology. Diverse causes of fistula call for multi-pronged strategies to reduce fistula incidence.

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Section: Discussionmentioning

confidence: 99%

Rare causes of genital fistula in nine African countries: a retrospective review

Ngongo

Raassen²,

Mahendeka

et al. 2022

BMC Women's Health

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“…Prolonged obstructed labor remains the commonest cause of VVF in the developing world [5]. Other benign causes of VVF are gynecological surgeries like hysterectomy, pelvic irradiation, pelvic inflammatory diseases, uterine rupture, and so forth [6, 7]. Malignant causes of VVF are carcinoma of cervix, vagina, bladder, and endometrium [8].…”

Section: Discussionmentioning

confidence: 99%

Adenosquamous Carcinoma of Vesicovaginal Fistula: A Rare Entity

Tabali

Ramkumar

2014

Case Reports in Obstetrics and Gynecology

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A 56-year-old lady presented with a vesicovaginal fistula (VVF) along with past history of abdominal hysterectomy. Biopsy of the fistulous tract showed squamous cell carcinoma (SCC). Patient underwent radical cystourethrectomy, total vaginectomy, and bilateral pelvic lymph node dissection along with ileal conduit. The final histopathology report of the resected specimen showed adenosquamous carcinoma in VVF. As this is a rare entity, we are reporting this case.

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Buccal mucosal graft interposition in the treatment of recurrent vesicovaginal fistula: A report on two cases

Hadži-Djokić

Pejcic

Stamenkovic

et al. 2015

Taiwanese Journal of Obstetrics and Gynecology

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Repair of vesicovaginal fistula caused by radiation therapy with labia maiora skin flap

Abstract: Labia maiora skin flap presents a good alternative for surgical treatment of vesicovaginal fistula. The flap is more adequate for larger defects and for the repair of fibrously changed vaginal wall which is present after irradiation therapy.

Cited by 4 publications

References 4 publications

Rare causes of genital fistula in nine African countries: a retrospective review

Rare causes of genital fistula in nine African countries: a retrospective review

Adenosquamous Carcinoma of Vesicovaginal Fistula: A Rare Entity

Buccal mucosal graft interposition in the treatment of recurrent vesicovaginal fistula: A report on two cases

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