Successful conservative management of a large iatrogenic vesicovaginal fistula after loop electrosurgical excision procedure

Wild, Trevor T.; Bradley, Catherine S.; Erickson, Beth

doi:10.1016/j.ajog.2012.06.013

Cited by 11 publications

(4 citation statements)

References 8 publications

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“…VCF can be managed conservatively or surgically depending on the patient's comorbidities and clinical presentation. Conservative measures include IDC insertion and percutaneous nephrostomies to allow adequate healing of the tract [8]. Ureteric embolization can also be utilised with percutaneous nephrostomies if treatment fails or in the situation of poor life expectancy [9].…”

Section: Discussionmentioning

confidence: 99%

Vesicocutaneous Fistula Following Radiation and Surgery for the Treatment of Rectal Cancer

Ridha¹,

Honeywill²,

Diab³

et al. 2021

Cureus

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Vesicocutaneous fistulas (VCF) are abnormal tracts formed between the bladder and the cutaneous surfaces of the body. Although rare, it has been reported following radiotherapy to the pelvic region, surgery and trauma. We present a case of a 70-year-old male who underwent neoadjuvant chemoradiotherapy for the treatment of rectal cancer metastatic to the perineum prior to definitive abdominoperineal resection (APR). Six months later, he developed urinary retention secondary to bladder obstructive outlet disease. This was managed with urinary catheterisation and a month later with transurethral resection of the prostate (TURP). At outpatient follow-up, he complained of urinary leakage in the perineal region approximately 10 months post-chemoradiotherapy. He underwent a computer tomography (CT) cystogram which confirmed the findings of a VCF extending to his perineum scar. He was managed conservatively with successful outcomes using a multidisciplinary team approach. This is the first case of delayed VCF reported arising after chemoradiotherapy for locally advanced rectal colorectal cancer.

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Section: Discussionmentioning

confidence: 99%

Vesicocutaneous Fistula Following Radiation and Surgery for the Treatment of Rectal Cancer

Ridha¹,

Honeywill²,

Diab³

et al. 2021

Cureus

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“…Delayed repair is the classic approach, but some articles advocated immediate repair because of better results ( 12 , 13 , 14 ) . Conservative management is also described, but an option not chosen frequently ( 15 ) . When the case is a uretero-vaginal fistula, conservative management can be considered initially, especially if the patient is appropriate for ureteral stenting, otherwise surgery is the definitive treatment method ( 16 ) .…”

Section: Discussionmentioning

confidence: 99%

Vesicocutaneus fistula after cesarean section-a curious complication: Case report and review

Tatar

Erdemoğlu

Soyupek

et al. 2016

tjod

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Vesicocutaneous fistulas are very rare pathologies in the urinary tract. We present the second case of a vesicocutaneus fistula after cesarean section, and discuss strategies for prevention, diagnosis, and treatment of this exceptional complication. A woman with a vesicocutaneous fistula after cesarean delivery was admitted and diagnostic tests including fluoroscopy, magnetic resonance imaging (MRI), and reconstructed MRI revealed the fistula tract and an urachal anomaly. The patient was treated through excision of the fistula tract. Laparotomy should be performed carefully, and the surgeon should be aware of the urachus. Inadvertent trauma to the urachus during laparotomy might cause serious unexpected complications. Possible etiologic factors for vesicocutaneous fistulae, prevention, and treatment methods are discussed.

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“…Più recentemente, nel 2012, Trevor et al hanno descritto la guarigione di una fistola di 3 cm trattata tramite il semplice drenaggio vescicale (18).…”

Section: Discussioneunclassified

Repair of post-hysterectomy vesicovaginal fistulae: the state of the art

Giusti

Lisa

2015

Urologia

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In western countries, vesicovaginal fistulae (VVF) are mostly iatrogenic and in the majority of cases are secondary to hysterectomy. The golden standard for the treatment of VVF has remained largely unchanged since 1953 (Couvelaire): good visualization, good dissection, good approximation of the margins, and good urine drainage. However, several aspects are still being debated, including whether or not to pursue conservative repair, the timing for surgical repair, whether to perform excision of the fistula tract, the best type of surgical access, and whether or not to use tissue interposition. We decided to review the state of the art in the treatment of VVF, which are exclusively of a traumatic nature and non-radiated, by performing a bibliography search carried on Pubmed using keywords such as "vesicovaginal fistula". The search focused on recent articles and was largely restricted to the past 10 years.

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Successful conservative management of a large iatrogenic vesicovaginal fistula after loop electrosurgical excision procedure

Cited by 11 publications

References 8 publications

Vesicocutaneous Fistula Following Radiation and Surgery for the Treatment of Rectal Cancer

Vesicocutaneous Fistula Following Radiation and Surgery for the Treatment of Rectal Cancer

Vesicocutaneus fistula after cesarean section-a curious complication: Case report and review

Repair of post-hysterectomy vesicovaginal fistulae: the state of the art

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