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Vesicovaginal fistula

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https://www.readbyqxmd.com/read/28225769/management-of-vesicovaginal-fistulas-vvfs-in-women-following-benign-gynaecologic-surgery-a-systematic-review-and-meta-analysis
#1
Barbara Bodner-Adler, Engelbert Hanzal, Eleonore Pablik, Heinz Koelbl, Klaus Bodner
BACKGROUND: Vesicovaginal fistulas (VVF) are the most commonly acquired fistulas of the urinary tract, but we lack a standardized algorithm for their management. Surgery is the most commonly preferred approach to treat women with primary VVF following benign gynaecologic surgery. OBJECTIVE: To carry out a systematic review and meta-analysis on the effectiveness of operative techniques or conservative treatment for patients with postsurgical VVF. Our secondary objective was to define the surgical time and determine the types of study designs...
2017: PloS One
https://www.readbyqxmd.com/read/28203133/simultaneously-diagnosed-and-successfully-treated-rectovaginal-and-vesicovaginal-fistulae-after-low-anterior-resection-with-concomitant-resection-of-female-genitalia
#2
Chisato Takagi, Hideo Baba, Kazuo Yamafuji, Atsunori Asami, Kaoru Takeshima, Nobuhiko Okamoto, Hidena Takahashi, Kiyoshi Kubochi
Rectovaginal fistula (RVF) and vesicovaginal fistula (VVF) are infrequent but distressing complications after pelvic surgery. However, their adequate treatment is not well described. Here, we simultaneously encountered and successfully treated RVF and VVF after radical surgery for rectal cancer. A 70-year-old woman underwent low anterior resection (LAR) combined with resection of the uterus, the bilateral adnexa, and the upper side of the vagina, as well as diverted ileostomy for rectal cancer. A month after the surgery, she developed urinary incontinence and underwent medical treatment, but her symptoms did not improve...
January 2017: Case Reports in Gastroenterology
https://www.readbyqxmd.com/read/28179199/robotic-cystotomy-for-pessary-extraction-with-vesicovaginal-fistula-repair
#3
Whitney Goldsberry, Daniel S Metzinger
STUDY OBJECTIVE: To demonstrate a robotic approach to foreign body extraction and vesicovaginal fistula repair. DESIGN: Video case presentation with narration discussing the step-by-step robotic surgical approach to the removal of a pessary, via cystotomy, followed by vesicovaginal fistula and cystotomy repair. SETTING: University of Louisville Hospital. The local Institutional Review Board deemed the video exempt from formal approval. PATIENT: A 77-year-old woman presented with complaints of vaginal leakage of urine, dysuria, and pelvic pain...
February 4, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28128507/use-of-a-postoperative-pad-test-to-identify-continence-status-in-women-after-obstetric-vesicovaginal-fistula-repair-a-prospective-cohort-study
#4
D M Kopp, A M Bengtson, J H Tang, E Chipungu, M Moyo, J Wilkinson
OBJECTIVE: Determine whether a 1-hour pad test at discharge can identify continence status within 120 days of obstetric vesicovaginal fistula (VVF) repair. DESIGN: Prospective cohort study. SETTING: Fistula Care Centre in Lilongwe, Malawi. POPULATION: Women with VVF who underwent repair between January 2012 and December 2014. METHODS: Data on demographics, obstetric history, physical exam findings, operative management, postoperative findings, and follow up evaluations were collected on women with VVF repair...
January 27, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28058000/vesicovaginal-fistula-presenting-as-a-large-abdominal-pseudocyst-a-rare-case
#5
Gaurav Vinod Kasat, Prakash W Pawar, Ajit S Sawant, Ashwin S Tamhankar
We present a rare case of indirect vesicovaginal fistula (VVF) in a patient with small capacity bladder. The fistula was between abdominal pseudocyst (APC) arising from bladder and vagina - and hence, an indirect VVF. A 35-year-old female had a history of emergency obstetric hysterectomy with iatrogenic bladder injury. Postoperatively, the patient developed VVF and large APC. Patient's micturating cystourethrogram was suggestive of small capacity bladder with bilateral Grade IV vesicoureteral reflux with a well-defined APC arising from superior surface of bladder to L4-L5 lumbar vertebrae...
October 2016: Urology Annals
https://www.readbyqxmd.com/read/28039414/eosinophilic-granulomatosis-with-polyangiitis-presenting-with-a-vesicovaginal-fistula
#6
Bamidele Famokunwa, Jeremy Ockrim, Jessica J Manson
No abstract text is available yet for this article.
December 30, 2016: Rheumatology
https://www.readbyqxmd.com/read/27924377/robot-assisted-extravesical-vesicovaginal-fistula-repair-utilizing-laparoscopically-mobilized-omental-flap-interposition
#7
Kara L Watts, Richard Ho, Reza Ghavamian, Nitya Abraham
INTRODUCTION AND HYPOTHESIS: High vesicovaginal fistulas (VVF) in the setting of good apical support are best repaired via a transabdominal approach. Laparoscopic VVF repair was first reported in 1998. Several series of robot-assisted VVF repairs have since been published. The robot-assisted approach allows repair of high apical vaginal fistulas while avoiding the morbidity of laparotomy, shortening convalescence, and facilitating the use of omental interposition flaps. This video presents the technique for robot-assisted extravesical VVF repair utilizing a laparoscopically mobilized omental flap...
December 6, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/27896256/comparative-analysis-of-outcome-between-laparoscopic-versus-open-surgical-repair-for-vesico-vaginal-fistula
#8
Bastab Ghosh, Varun Wats, Dilip Kumar Pal
OBJECTIVE: Vesicovaginal fistula (VVF) causes detrimental psychosomatic effects on a woman. It is repaired using open abdominal as well as laparoscopic approach. Here we compare a series of open versus laparoscopic VVF repairs done at a single centre. METHODS: Retrospectively data of patients undergoing VVF repair in our department between January 2011 to December 2014 was analyzed. Patients who had a single, primary, simple VVF following a gynaecological surgery were included in the study...
November 2016: Obstetrics & Gynecology Science
https://www.readbyqxmd.com/read/27880958/factors-influencing-repair-outcomes-of-vesicovaginal-fistula-a-retrospective-review-of-139-procedures
#9
Liang Zhou, Tong-Xin Yang, De-Yi Luo, Shu-Lian Chen, Bang-Hua Liao, Hong Li, Kun-Jie Wang, Hong Shen
INTRODUCTION: We aimed to report the outcomes of patients undergoing vesicovaginal fistula (VVF) repair to identify prognostic factors. MATERIALS AND METHODS: Patients who underwent VVF repair between January 2009 and October 2015 were reviewed. Primary outcome was fistula closure at 3 months. RESULTS: A total of 123 patients and 139 procedures of VVF repair were reviewed. The overall success rate was 85.6%. There were no significant differences in age (p = 0...
November 24, 2016: Urologia Internationalis
https://www.readbyqxmd.com/read/27844235/robot-assisted-laparoscopic-colpectomy-in-female-to-male-transgender-patients-technique-and-outcomes-of-a-prospective-cohort-study
#10
Freek Groenman, Charlotte Nikkels, Judith Huirne, Mick van Trotsenburg, Hans Trum
BACKGROUND: Gender-affirming surgeries in female-to-male (FtM) transgender patients include mostly hysterectomy, bilateral salpingo-oophorectomy and mastectomy. Sometimes further surgery is performed, such as phalloplasty. Colpectomy may be performed to overcome gender dysphoria and disturbing vaginal discharge; furthermore, it may be important in reducing the risk of fistulas due to the phalloplasty procedure with urethral elongation. Colpectomy prior to the reconstruction of the neourethra seems to reduce fistula rates on the very first anastomosis...
November 14, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27844120/robot-assisted-vesicovaginal-fistula-repair-a-safe-and-feasible-technique
#11
Girdhar S Bora, Shivanshu Singh, Ravimohan S Mavuduru, Sudheer K Devana, Santosh Kumar, Uttam K Mete, Shrawan K Singh, Arup K Mandal
INTRODUCTION AND HYPOTHESIS: Open transabdominal repair of vesicovaginal fistula (VVF) requires a long cystotomy incision, suprapubic drainage and delayed recovery. Laparoscopic repair is limited by difficult suturing in pelvic procedures. Therefore, the utility of robotic assistance is being increasingly explored. We share our initial experience of robot-assisted laparoscopic VVF repair. METHODS: The data from patients who underwent robot-assisted VVF repair from December 2014 to August 2016 were recorded and analyzed...
November 14, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/27843220/cyanoacrylate-injection-in-management-of-recurrent-vesicovaginal-fistula-our-experience
#12
Ajit S Sawant, Gaurav Vinod Kasat, Vikash Kumar
Treating recurrent vesicovaginal fistula (VVF) is a major clinical problem. We present a technique and special precautions taken during treatment of a small recurrent VVF with the help of combined cystoscopic and/or transvaginal injection of cyanoacrylate in two patients. Except for frequency of micturition in the first patient, postoperative follow-up was uneventful. Endoscopic management with cyanoacrylate is a simple and effective alternative to major reconstructive surgery.
October 2016: Indian Journal of Urology: IJU: Journal of the Urological Society of India
https://www.readbyqxmd.com/read/27826116/safety-and-efficacy-of-advanced-bipolar-vessel-sealing-in-vaginal-hysterectomy-1000-cases
#13
Henri Clavé, Arnaud Clavé
STUDY OBJECTIVE: To determine the safety and efficacy of advanced electrothermal bipolar vessel sealing (EBVS) during vaginal hysterectomy by evaluating urinary complications, overall complications, and reoperation rate. DESIGN: A retrospective cohort (Canadian Task Force classification III). SETTING: High-volume gynecologic surgeon practice, private hospital. PATIENTS: One thousand consecutive patients who have undergone vaginal hysterectomy for benign conditions carried out with EBVS between January 2002 and December 2012...
February 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27824744/enterovaginal-or-vesicovaginal-fistula-control-using-a-silicone-cup
#14
Katie W Russell, Ryan E Robinson, Mary C Mone, Courtney L Scaife
BACKGROUND: An enterovaginal or vesicovaginal fistula is a complication resulting in vaginal discharge of succus, urine, or stool that can lead to significant complications. For low-volume fistulae, tampons or pads may be used. With high-volume fistulae, frequent product change can be painful and unpredictable in terms of efficacy. The psychologic distress is profound. Surgery may not be an option, making symptom control the priority. INSTRUMENT: We report the use of a reusable menstrual silicone vaginal cup placed to divert and contain drainage...
December 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27821123/factors-associated-with-the-failure-of-obstetric-fistula-repair-in-guinea-implications-for-practice
#15
Alexandre Delamou, Therese Delvaux, Abdoul Habib Beavogui, Abdoulaye Toure, Delphin Kolié, Sidikiba Sidibé, Mandian Camara, Kindy Diallo, Thierno Hamidou Barry, Moustapha Diallo, Alain Leveque, Wei-Hong Zhang, Vincent De Brouwere
BACKGROUND: The prevention and treatment of obstetric fistula still remains a concern and a challenge in low income countries. The objective of this study was to estimate the overall proportions of failure of fistula closure and incontinence among women undergoing repair for obstetric fistula in Guinea and identify its associated factors. METHODS: This was a retrospective cohort study using data extracted from medical records of fistula repairs between 1 January 2012 and 30 September 2013...
November 8, 2016: Reproductive Health
https://www.readbyqxmd.com/read/27796423/pessary-migration-into-the-bladder-a-rare-episode-of-removal-and-repair-of-a-vesicovaginal-fistula
#16
Joseph Gauta
No abstract text is available yet for this article.
October 28, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/27794173/vesicovaginal-fistulas-in-the-developed-world-an-analysis-of-disease-characteristics-treatments-and-complications-of-surgical-repair-using-the-acs-nsqip-database
#17
Marissa C Theofanides, Wilson Sui, Elisabeth M Sebesta, Ifeanyi Onyeji, Justin T Matulay, Doreen E Chung
AIMS: To analyze patient characteristics, complications, and surgical trends in vesicovaginal fistulas (VVF) from a national database. METHODS: Current Procedural Terminology was used to identify patients undergoing VVF repair from the American College of Surgeons National Surgical Quality Improvement Project (NSQIP) database. Characteristics and treatments were identified. Logistic regression was used to identify characteristics associated with complications. RESULTS: From 2006 to 2013, 200 patients underwent VVF repair...
October 29, 2016: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/27790520/large-dumbbell-shaped-vesicovaginal-calculus-managed-with-holmium-laser-cystolithotripsy-followed-by-staged-repair-of-vesicovaginal-fistula
#18
Ajit Sawant, Ashwin Sunil Tamhankar, Prakash Pawar, Gaurav Vinod Kasat, Lomesh Kapadnis
Complicated Vesicovaginal Fistulae (VVF) is prevalent in developing countries following obstetric injury. We report a rare case of a large dumbbell shaped vesicovaginal calculus measuring 7x 4.6cm in a patient with recurrent, complicated VVF managed successfully in two stages 6 weeks apart. Holmium laser (30 Watt) cystolithotripsy was used to break the vesical portion of the stone at the waist of the dumbbell, followed by delivery of vaginal part of the stone. Trans-abdominal VVF repair (O'Connor method) with omental interposition flap with right side ureteric reimplant was done after six weeks...
September 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27741181/identifying-patients-with-vesicovaginal-fistula-at-high-risk-of-urinary-incontinence-after-surgery
#19
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)...
November 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27651632/laparoscopic-vesicovaginal-fistula-repair-with-limited-cystotomy-a-rewarding-treatment-option
#20
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
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