Vesicovaginal fistulae

Abstract

Vesicovaginal fistula (VVF) formation represents a condition with devastating consequences for the patient and continues to pose a significant challenge to the surgeon. Quick and accurate diagnosis, followed by timely repair is essential to the successful management of these cases. A thorough understanding of the pathophysiology and anatomy of the fistula, potential factors that may compromise healing and experience in the fundamental principles of fistula repair are the vital tools of the fistula surgeon. This review was undertaken to provide an overview of the key areas in VVF investigation and management.

Laparoscopic extravesical vesicovaginal fistula repair: our technique and 15-year experience

“…Although there are distinct differences in the two techniques, the literature is quite confusing, often not acknowledging the difference and lumping the two laparoscopic techniques together [ 4 – 6 ], claiming that all laparoscopic techniques are “a variation of the O’Conor technique” [ 7 , 8 ] or making claims that the laparoscopic extravesical technique is a “novel” technique [ 9 ], despite appearing in the literature since the late 1990s [ 2 , 3 , 10 ].…”

Repair of vesicovaginal fistula: Single-centre experience and analysis of outcome predictors

“…Prolonged and obstructed labour was long considered to be the leading cause of vesicovaginal fistula (VVF) in women in developing countries. In developed countries iatrogenic VVF is a complication of many procedures, comprising up to 90% of VVF in those countries [1] . In Egypt, as well as in other countries, obstetric trauma was considered the leading cause of VVF.…”

Disease- and treatment-related complication on F-18-Fluorodeoxyglucose positron emission tomography/computed tomography in oncology practice: A pictorial review

“…The most common cause of VVF is prolonged, obstructed labor. [ 42 ] However, in the developed countries, approximately 90% of VVF are due to accidental injury to the urinary bladder during surgery. [ 42 ] Other less common causes of VVF are pelvic malignancy [ Figure 15 ], obstetric infections, and vaginal trauma.…”

“…[ 42 ] However, in the developed countries, approximately 90% of VVF are due to accidental injury to the urinary bladder during surgery. [ 42 ] Other less common causes of VVF are pelvic malignancy [ Figure 15 ], obstetric infections, and vaginal trauma. [ 42 ] In majority of patients, VVF presents with leakage of urine per vagina approximately 5–10 days after surgery.…”

“…[ 42 ] Other less common causes of VVF are pelvic malignancy [ Figure 15 ], obstetric infections, and vaginal trauma. [ 42 ] In majority of patients, VVF presents with leakage of urine per vagina approximately 5–10 days after surgery. However, VVF after pelvic radiotherapy or due to local malignancy may present very late.…”