Urogenital Fistula

Wong, Micheline; Wong, Keri Ka‐Yee; Rezvan, Azadeh; Tate, Alison; Bhatia, Narender N.; Yazdany, Tajnoos

doi:10.1097/spv.0b013e318249bd20

Cited by 50 publications

(63 citation statements)

References 77 publications

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“…None of our cases show the healing of fistula after 1 month of catheterization. Some success has been reported with electrocoagulation of the smaller fistula tract (less than 3 mm in diameter), either transvaginally or transurethrally with tiny electrode and minimal coagulation current [1,11]. In this study, electrocoagulation was successfully tried in one case of the small supratrigonal VVF.…”

Section: Discussionmentioning

confidence: 85%

“…It is biodegradable and promotes healing through its effect on fibroblast and collagen synthesis. Its reported success rate is 60-80 % in many series, but their results could not be generalized as all these studies have small number of cases [1,12].…”

Section: Discussionmentioning

confidence: 99%

“…Its exclusion criteria are circumferential indurations at the fistula site exceeding 2 cm, fistula location or vaginal architecture precluding adequate vaginal exposure, fistulae involving the ureter or the patient's preference for an abdominal approach after preoperative counseling. The majority of the operations are done using the Latzko or the vaginal flap techniques [1,8,18,19]. Success rates ranging from 82 to 94 % have been reported for the transvaginal approach [17,20,21].…”

Section: Discussionmentioning

confidence: 99%

“…Martius (labial fat based) flap is used in vaginal approach, while omentum and peritoneal flaps are the options in abdominal approach [1,13,16]. We used Mauritius flap in all but one case of simple fistula with a vaginal approach, while omentum was used as an interposition flap in abdominal approach for all cases of complex fistula.…”

Section: Discussionmentioning

confidence: 99%

“…Its worldwide incidence is more than 100,000 cases per year [1]. In developing countries, 90 % of these fistulae are consequence of neglected and obstructed labor [2,3].…”

Section: Introductionmentioning

confidence: 99%

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Genitourinary Fistula: An Indian Perspective

Priyadarshi

Singh

Bera

et al. 2015

J Obstet Gynecol India

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Background In developing countries, obstetric trauma is the most common cause of genitourinary fistulae. But over the last two decades, health care facilities have been improved and the scenario has been changed. Purpose The aim of the present study is to share our experience with genitourinary fistula in terms of mode of presentation, diagnostic modality, and management with the emphasis on the surgical approach and a parallel review of the available literature. Materials and Method During a 6-year period from January 2007 to December 2013, 41 cases of genitourinary fistula, who admitted and treated in the urology department of a tertiary care center, were retrospectively analyzed for etiology, site, size and number of fistulae, clinical presentation, diagnostic modalities, and management. The literature search was done using the Medline database. Result Mean age of the patient was 27 years (range 16-51). Primary and simple fistulae were common. Obstetric trauma was the most common etiology (56.09 %) followed by iatrogenic (39.03 %). Vesicovaginal fistula was the most common type (78.37 %) and trigone was the most common site involved (51.72 %). 51.35 % of patients were approached successfully by the vaginal route. Ancillary procedures were required in patients for various other associated anomalies at the time of fistula repair. The success rate on follow up was 94.5 %. In the mean follow up of 3 years, 35 patients were sexually active. Conclusion Genitourinary fistula is a frustrating entity with potentially devastating psychosocial consequence. Its management poses a tricky challenge to the surgeon. Accurate and timely diagnosis, adhering on basic surgical principle, and repair by an experienced surgeon provide the optimum chance of cure.

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Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Its worldwide incidence is more than 100,000 cases per year [1]. In developing countries, 90 % of these fistulae are consequence of neglected and obstructed labor [2,3].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations