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Vesicovaginal fistula

Angela M Bengtson, Dawn Kopp, Jennifer H Tang, Ennet Chipungu, Margaret Moyo, Jeffrey Wilkinson
OBJECTIVE: To develop a risk score to identify women with vesicovaginal fistula at high risk of residual urinary incontinence after surgical repair. METHODS: We conducted a prospective cohort study among 401 women undergoing their first vesicovaginal fistula repair at a referral fistula repair center in Lilongwe, Malawi, between September 2011 and December 2014, who returned for follow-up within 120 days of surgery. We used logistic regression to develop a risk score to identify women with a high likelihood of residual urinary incontinence, defined as incontinence grade 2-5 within 120 days of vesicovaginal fistula repair, based on preoperative clinical and demographic characteristics (age, number of years with fistula, human immunodeficiency virus status, body mass index, previous repair surgery at an outside facility, revised Goh classification, Goh vesicovaginal fistula size, circumferential fistula, vaginal scaring, bladder size, and urethral length)...
October 6, 2016: Obstetrics and Gynecology
Bastab Ghosh, Deepak K Biswal, Malay K Bera, Dilip K Pal
INTRODUCTION: Vesicovaginal fistula (VVF) is the most common type of urogenital fistula. Gynecologic surgery is the most common cause associated with it. Laparoscopic approach for VVF repair gives the benefit of minimally invasive surgery with principles similar to open transabdominal approach. MATERIALS AND METHODS: We retrospectively reviewed data of 13 patients who underwent laparoscopic vesicovaginal repair at our department from December 2012 to December 2014...
October 2016: Journal of Obstetrics and Gynaecology of India
Steven N Shephard, Sunday J Lengmang, Carolyn V Kirschner
INTRODUCTION AND HYPOTHESIS: The objective was to assess the outcomes of a one-stage approach to bladder stones in the setting of a vesicovaginal fistula, performing fistula repair concurrently with stone extraction. METHODS: Retrospective review of urogenital fistula surgeries at Evangel VVF Center in Jos, Nigeria, between December 2003 and April 2014, identified 87 women with bladder stones accompanying their fistulas and 2,979 repaired without stones. Concurrent stone extraction and fistula repair were performed in 51 patients...
September 17, 2016: International Urogynecology Journal
Emily E Weber LeBrun, Hazel Asumu, Anne M Richardson, LouAnn A Cooper, John D Davis
OBJECTIVE: This study aims to determine the expectations of Obstetrics and Gynecology (ObGyn) residency and Female Pelvic Medicine & Reconstructive Surgery (FPMRS) fellowship program directors (FPDs) for the independent performance of urogynecologic procedures during residency and to compare these expectations with the Council on Resident Education in Obstetrics and Gynecology (CREOG) educational objectives. MATERIALS AND METHODS: Two parallel, anonymous surveys were distributed simultaneously to all directors of accredited ObGyn residency and FPMRS fellowship programs in the United States...
September 16, 2016: Female Pelvic Medicine & Reconstructive Surgery
Garson Chan, Adiel Mamut, Paul Martin, Blayne Welk
INTRODUCTION: The objective of this study was to determine the outcomes associated with the endoscopic removal of foreign bodies (such as mesh or permanent suture) in the lower urinary tract after female stress incontinence surgery with the Holmium:YAG (Ho:YAG) laser, and to systematically review the literature on this topic. MATERIALS AND METHODS: A retrospective chart review of 18 consecutive women found to have mesh or suture exposure was performed. All patients underwent Ho:YAG laser ablation...
October 6, 2016: Journal of Endourology
Vineet V Mishra, Tanvir Tanvir, Sumesh Choudhary, Nilesh Goraniya
Vesicovaginal fistula (VVF) is a devastating social problem. It can either result from obstetric trauma or following gynecological surgeries, malignancy, or radiation. We present a case of a 70-year-old woman who had a VVF following mesh augmentation surgery for anterior compartment prolapse. She required a transvaginal removal of the eroded mesh followed by a transvaginal repair of VVF using a Martius flap, 6 weeks later. Transvaginal removal of mesh is technically feasible and a good approach. Timing and route of surgery should be individualized...
April 2016: Journal of Mid-life Health
Ziv Tsafrir, Joelle Aoun, Rabbie Hanna, Eleni Papalekas, Lauren Schiff, Evan Theoharis, David Eisenstein
BACKGROUND AND OBJECTIVES: A renewed interest in the supra cervical approach to hysterectomy has created a cohort of patients with a retained cervix at risk of persistent symptoms requiring a subsequent trachelectomy. The objective of this study was to evaluate the efficacy of robotic trachelectomy after a previous supracervical hysterectomy. METHODS: This is a retrospective chart review of women who had robotic trachelectomy after supracervical hysterectomy for benign gynecologic disease from January 2009 through October 2014...
July 2016: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Ccg Chen, D Barry, S K Khatry, E M Klasen, M Singh, S C LeClerq, J Katz, J M Tielsch, L C Mullany
OBJECTIVE: To validate a symptom-based fistula screening questionnaire and estimate obstetric fistula (OF) prevalence in rural Nepal. DESIGN: Cross-sectional and nested case-control study. SETTING: Sarlahi District, Nepal. POPULATION: Parous, reproductive age women. METHODS: The questionnaire assessed symptoms of vesicovaginal and rectovaginal fistula (VVF and RVF, respectively), stress and urge urinary incontinence (SUI and UUI, respectively), fecal incontinence (FI), and included interviewer observations on the smell and presence of urine and/or stool...
July 27, 2016: BJOG: An International Journal of Obstetrics and Gynaecology
Nagabhushana Mahadevappa, Swathi Gudage, Karthikeyan V Senguttavan, Ashwin Mallya, Sachin Dharwadkar
OBJECTIVE: Vesicovaginal fistula (VVF) is a major complication with psychosocial ramifications. In literature, few VVF cases have been managed by laparoendoscopic single site surgery (LESS) and for the 1(st) time we report VVF repair by LESS using conventional laparoscopic instruments. We present our initial experience and to assess its feasibility, safety and outcome. PATIENTS AND METHODS: From March 2012 to September 2015, LESS VVF repair was done for ten patients aged between 30 and 65 (45...
July 2016: Urology Annals
Lina S Fouad, Anita H Chen, Carlos J Santoni, Cristin Wehbe, Paul D Pettit
No abstract text is available yet for this article.
July 19, 2016: Journal of Minimally Invasive Gynecology
Shintaro Shiba, Masaru Wakatsuki, Shingo Kato, Tatsuya Ohno, Noriyuki Okonogi, Kumiko Karasawa, Hiroki Kiyohara, Hirohiko Tsujii, Takashi Nakano, Tadashi Kamada, Makio Shozu
The purpose of this study was to evaluate the efficacy and toxicities of carbon-ion radiotherapy (C-ion RT) for locally advanced cervical cancer with bladder invasion by a subset analysis of pooled data from eight prospective clinical trials at the National Institute of Radiological Sciences. Between June 1995 and January 2014, 29 patients with locally advanced cervical cancer with bladder invasion were identified. The median age was 56 years old (range 31-79 years old). The median tumor size at diagnosis on magnetic resonance imaging was 6...
July 15, 2016: Journal of Radiation Research
Demisew Anemu Sori, Ahadu Workineh Azale, Desta Hiko Gemeda
BACKGROUND: In Ethiopia, about 9000 fistula cases are estimated to occur every year with an incidence of 2.2/1000 women. This study was aimed to determine obstetric fistula characteristics and surgical repair outcomes among patients with fistula surgical repair. METHODS: A Hospital based cross sectional study design was conducted on all patients with Obstetric vesicovaginal Fistula, who were admitted to Gynecology ward, and had surgical repair from January 2011 to December 2014...
2016: BMC Urology
Katarzyna Bochenska, Halina M Zyczynski
OBJECTIVE: To characterize indications, timing, and results of voiding cystourethrogram (VCUG) studies after repair of the lower urinary tract and to determine how these results impact clinical management. METHODS: Women who underwent a VCUG between January 2006 and December 2012 were identified from a radiology billing database. After excluding women with abdominopelvic malignancies, demographic, clinical, index procedure and lower urinary tract repair characteristics, and VCUG results were analyzed...
September 2016: Female Pelvic Medicine & Reconstructive Surgery
Taylor G Maloney, Alex Kavanagh, Rose Khavari
OBJECTIVES: To describe a case presentation and perform a review of the literature on vesicosalpingo fistulas. METHODS: An otherwise healthy 32 year-old patient was referred to urology with symptoms of persistent abdominal bloating and urine leakage from the vagina after abdominal conversion of laparoscopic hysterectomy. Two fistula tracts were identified in the bladder during preoperative cystoscopy. The tracts were cannulated with temporary ureteral catheters, and the patient underwent a robotic-assisted laparoscopic repair of a vesicosalpingo and a vesicovaginal fistula...
July 9, 2016: Female Pelvic Medicine & Reconstructive Surgery
Sachin Malde, Marco Spilotros, Ailsa Wilson, Mahreen Pakzad, Rizwan Hamid, Jeremy Ockrim, P Julian Shah, Tamsin Greenwell
PURPOSE: To assess the indications, morbidity, efficacy and outcomes of Martius fat pad (MFP) interposition in reconstructive female urology. MATERIALS AND METHODS: Data on 159 women with MFP interposition as part of their primary procedure between 2 September 2005 and 2 July 2015 were prospectively collected. Patient demographics and the indications for MFP interposition along with the outcomes of their primary procedures and short- and long-term complications related to the MFP, along with patient reported perception of post-operative appearance, were noted...
July 7, 2016: World Journal of Urology
Agnieszka Zolciak-Siwinska, Ewelina Gruszczynska, Michal Bijok, Joanna Jonska-Gmyrek, Mateusz Dabkowski, Jagna Staniaszek, Wojciech Michalski, Adam Kowalczyk, Katarzyna Milanowska
PURPOSE: To evaluate the long-term results of computed tomography (CT)-planned high-dose-rate (HDR) brachytherapy (BT) for treating cervical cancer patients. METHODS AND MATERIALS: CT-planned HDR BT was performed according to the adapted Group European de Curietherapie-European Society for Therapeutic Radiology and Oncology (GEC-ESTRO) recommendations in 216 consecutive patients with locally advanced cervical cancer, International Federation of Gynecology and Obstetrics (FIGO) stage IB to IVA, who were treated with conformal external beam radiation therapy and concomitant chemotherapy...
September 1, 2016: International Journal of Radiation Oncology, Biology, Physics
Aideen Madden, Asadullah Aslam, Nadeem B Nusrat
Intrauterine devices (IUDs) are reliable method for contraception. Although, they are generally regarded as safe, serious consequences may occur in case of uterine perforation or intravesical migration. We present a rare case of a 74 year old lady with a forgotten IUD for 42 years resulting in intravesical migration, formation of vesicovaginal fistula (VVF) without uterine perforation, complete urinary incontinence, recurrent urinary tract infections (UTIs) and a large vesicovaginal calculus.
July 2016: Urology Case Reports
Vandana Jain, Rupinder Sekhon, Shveta Giri, Rashmi Rekha Bora, Kanika Batra, Anu Bajracharya, Sudhir Rawal
OBJECTIVES: The objective of our present study was to evaluate the efficacy of radical vaginectomy with or without radical hysterectomy in patients with International Federation of Gynecology and Obstetrics stage I and II vaginal cancers. MATERIALS AND METHODS: A retrospective study was carried out on 11 patients aged 35 to 78 years. All the patients underwent radical surgery for vaginal cancer from April 2010 till June 2015. Kaplan-Meier analyses were used to calculate the disease-free survival and overall survival at 12 months...
July 2016: International Journal of Gynecological Cancer
T M Kpatcha, K Tengue, A Adodo, P Wangala, G Botcho, E Leloua, K H Sikpa, E V Sewa, T Anoukoum, K Gnassingbe
The purpose of this study is to describe a simple, non-expensive, accessible and effective technique of ureterovaginal fistula diagnosis, and to assess the results of surgical management in a resource-constrained hospital. During a campaign of obstetric fistulas repair, we diagnosed ureterovaginal fistulas by vaginal exam with the blue methylene test associated to abdominal ultrasonography, two simple and non-expensive explorations which permitted to identify ureterovaginal fistula and to do differential diagnosis with vesicovaginal fistula...
June 14, 2016: Bulletin de la Société de Pathologie Exotique
Vinod Priyadarshi, Jitendra Pratap Singh, Malay Kumar Bera, Anup Kumar Kundu, Dilip Kumar Pal
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...
June 2016: Journal of Obstetrics and Gynaecology of India
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