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Vesicovaginal fistula

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https://www.readbyqxmd.com/read/29082325/endoscopic-treatment-of-intrauterine-device-migration-into-the-bladder-with-stone-formation
#1
Masayuki Sano, Kaoru Nemoto, Takafumi Miura, Yasutomo Suzuki
Background: An intrauterine device is commonly used for contraception globally. Although intrauterine device placement is an effective and safe method of contraception, migration into the bladder with stone formation is a rare and serious complication. The management approaches for an intrauterine device embedded in the bladder include endoscopic procedures and open surgical removal. In this study, we report the case of a patient with recurrent urinary tract infection associated with intrauterine device migration and urolithiasis, who successfully underwent endoscopic treatment combined with laser fragmentation...
2017: Journal of Endourology Case Reports
https://www.readbyqxmd.com/read/29072881/case-report-of-treatment-with-a-sigmoid-neovagina-for-a-patient-with-vesicovaginal-fistula-and-gynatresia
#2
Ileogben Sunday-Adeoye, Uche E Eni, Kenneth C Ekwedigwe, Babafemi A C Daniyan, Olusola N Abodunrin, Maradona E Isikhuemen, Monday O Eliboh, Sunday M Uguru
Vaginal stenosis or gynatresia is when part of the female genital tract is occluded [1]. Gynatresia and vesicovaginal fistula are forms of delivery injury resulting, primarily, from prolonged obstructed labor in low-income countries [2]. Surgical repair of vesicovaginal fistula can be complicated by gynatresia. Repairing a fistula without addressing other issues such as gynatresia does not allow the patient to fully regain their normal life. This article is protected by copyright. All rights reserved.
October 26, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29045975/-comparison-and-discussion-of-different-surgical-methods-used-to-treat-vesicovaginal-fistulas
#3
W Y Zhang, H Hu, X P Zhang, Y R Sun, H R Wang, K X Xu
OBJECTIVE: To compare the feasibility and prognosis of different surgical methods used for vesicovaginal fistulas and to explore the value of electrocoagulation treating small ones. METHODS: The medical data of 19 patients who had undertaken transvaginal VVF repairs in Peking University People's Hospital between October 2008 and November 2016 were retrospectively collected. The follow-ups were performed. The patients' age ranged from 31 to 55 years with the median age of 48 years and the history length ranged from 1 month to 24 months with the median length of 3 months...
October 18, 2017: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
https://www.readbyqxmd.com/read/29030159/obstructive-m%C3%A3-llerian-anomalies-in-menstruating-adolescent-girls-a-report-of-22-cases
#4
Karina Kapczuk, Zbigniew Friebe, Kinga Iwaniec, Witold Kędzia
STUDY OBJECTIVE: To assess the clinical course of obstructive Müllerian anomalies found in girls after menarche DESIGN: A retrospective case series of adolescents who between 2009 and 2016 were treated for vaginal or uterine obstructive malformations diagnosed after menarche SETTING: Division of Gynecology, Poznań University of Medical Sciences, Poznań, Poland PARTICIPANTS: Twenty-two patients who, at the age of 11.4-18.2 (median 13.1) years, between 2 and 74 (median 7.5) months after menarche, underwent surgical repair of obstructive genital anomaly MAIN OUTCOME MEASURES: Müllerian defect type, presentation, radiologic findings, pre- and postoperative course RESULTS: Eighteen patients (81...
October 10, 2017: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/29022054/diagnosis-and-management-of-365-ureteric-injuries-following-obstetric-and-gynecologic-surgery-in-resource-limited-settings
#5
Thomas J I P Raassen, Carrie J Ngongo, Marietta M Mahendeka
INTRODUCTION: Ureteric injuries are among the most serious complications of pelvic surgery. The incidence in low-resource settings is not well documented. METHODS: This retrospective review analyzes a cohort of 365 ureteric injuries with ureterovaginal fistulas in 353 women following obstetric and gynecologic operations in 11 countries in Africa and Asia, all low-resource settings. The patients with ureteric injury were stratified into three groups according to the initial surgery: (a) obstetric operations, (b) gynecologic operations, and (c) vesicovaginal fistula (VVF) repairs...
October 11, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28913134/management-of-vesicovaginal-fistulas-after-gynecologic-surgery
#6
Burak Tatar, Taylan Oksay, Fatma Selcen Cebe, Sedat Soyupek, Evrim Erdemoğlu
OBJECTIVE: In developed nations, surgery, especially gynecologic procedures, is the major cause of vesicovaginal fistulas (VVFs). We retrospectively evaluated our treatment modalities for VVF repair caused by a gynecologic surgery, and discussed the reasons of selecting certain surgical techniques and their outcomes. MATERIALS AND METHODS: We compared the surgical procedure preferences of surgeons and their results with patient and surgeon characteristics for the management of VVFs after an inciting gynecologic surgery in Süleyman Demirel University Hospital, Isparta over a 10-year period...
March 2017: Turk J Obstet Gynecol
https://www.readbyqxmd.com/read/28911880/pelvic-exenteration-for-gynecologic-malignancies-postoperative-complications-and-oncologic-outcomes
#7
A Romeo, M I Gonzalez, J Jaunarena, M E Zubieta, G Favre, J C Tejerizo
INTRODUCTION AND OBJECTIVE: To evaluate complications, morbidity and oncologic outcomes of pelvic exenteration as treatment for gynecologic malignancies. MATERIALS AND METHODS: Between 2008 and 2015, a total of 35 patients underwent pelvic exenteration, due to recurrence of gynecological cancer. Surgical outcomes, early and late postoperative complications, and recurrence/survival outcomes were assessed. RESULTS: Mean patient age was 53.8 years...
September 11, 2017: Actas Urologicas Españolas
https://www.readbyqxmd.com/read/28762575/changing-trends-in-the-etiology-and-management-of-vesicovaginal-fistula
#8
REVIEW
Muhammad A Malik, Muhammad Sohail, Muhammad Tb Malik, Nauman Khalid, Adeen Akram
Vesicovaginal fistula has remained a scourge and of public health importance, causing significant morbidity, and psychological and social problems to the patient. Continuous wetness, odor and discomfort cause serious social issues. The diagnosis has been traditionally based on clinical evaluation, dye testing, cystoscopic examination and contrast studies. A successful repair of such fistulas requires an accurate diagnosis and timely surgical intervention using techniques that are based on basic surgical principles with or without the use of interpositional flaps...
August 1, 2017: International Journal of Urology: Official Journal of the Japanese Urological Association
https://www.readbyqxmd.com/read/28760062/high-rate-of-uterine-rupture-in-a-conflict-setting-of-hajjah-yemen
#9
Abdullah A Al-Rukeimi, Ahmed Al-Haddad, AbdelAziem A Ali, Ishag Adam
A descriptive study was conducted to investigate the epidemiology and the outcome of uterine rupture at Hajjah Hospital, Yemen, during September 2014-August 2016. There were 110 cases of ruptured uterus and 3457 deliveries (31.8 per 1000 delivery). The majority (82, 74.5%) of these patients were illiterate. One hundred and four (96.3%) of them had no antenatal care. Seventy-eight of these women (70.9%) delivered at home and 32 (29.1%) delivered at hospital. Out of these 110 cases, 74 (67.3%) and 36 (32.7%) had unscarred uterus and scarred uterus, respectively...
August 1, 2017: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28760049/recurrent-postcoital-vesicovaginal-fistula-outcome-of-consensual-sex-in-an-adult-female
#10
Aruna Nigam, Arifa A Elahi, Swaraj Batra
No abstract text is available yet for this article.
August 1, 2017: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28733058/unusual-perils-of-pelvic-organ-prolapse
#11
Brian J Liu, Patricia E Lee
BACKGROUND: Prolapse can be treated with expectant management, pessary, or surgery. Although we consider the first two options benign, rare but serious complications can arise. CASE 1: A 64-year-old presented with recurrent grade 4 prolapse. After 6 months of expectant management, she developed a fistula from an ulcerated area of the prolapse into the peritoneal cavity. CASE 2: An 81-year-old who diligently cared for her ring pessary for 18 years presented with a vesicovaginal fistula...
November 2017: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/28695344/genital-tract-fistula-a-case-series-from-a-tertiary-centre-in-south-africa
#12
Thinagrin Dhasarathun Naidoo, Jagidesa Moodley, Saloshni Naidoo
INTRODUCTION AND HYPOTHESIS: We describe the demographic profile, aetiology, management and surgical outcomes in women with genital tract fistula presenting to a tertiary urogynaecology unit. METHODS: This retrospective audit included 87 patients managed in our unit between 2008 and 2015. Frequencies and means with standard deviations are presented for categorical and continuous data. Continuous dependent variables are categorized as above or below the median for bivariate analyses performed using the chi-squared test (α = 0...
July 10, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28656520/state-of-the-art-for-treatment-of-vesicovaginal-fistula
#13
REVIEW
Rachel A Moses, E Ann Gormley
BACKGROUND: Vesico-vaginal fistulae (VVF) remain the most prevalent genitourinary fistula detrimentally impacting quality of life. PURPOSE OF THE REVIEW: The purpose of this review is to examine relevant literature on management of VVF. RECENT FINDINGS: Obstructed labor is the leading cause of VVF in the developing world with most repairs performed via the transvaginal approach. Conversely, the predominate etiology in industrialized nations is iatrogenic injury with an increasing trend towards abdominal repair via a minimally invasive (laparoscopic and robotic) approach...
August 2017: Current Urology Reports
https://www.readbyqxmd.com/read/28602050/effect-of-hiv-infection-on-outcomes-after-surgical-repair-of-genital-fistula
#14
Steven N Shephard, Sunday J Lengmang, Stephen A Anzaku, Oluwatobi V Mamven, Carolyn V Kirschner
OBJECTIVE: To compare outcomes following surgical repair of genital fistula among Nigerian women with or without HIV. METHODS: A retrospective review was conducted of all genital fistula repair surgeries performed at Evangel Vesicovaginal Fistula Center in Jos, Nigeria, between January 1, 2004, and April 30, 2014. Patient characteristics, HIV status, genital fistula characteristics, and postoperative outcomes were assessed for between-group variance. The odds ratio (OR) and 95% confidence intervals (CIs) were the primary measures used for determining the association between HIV status and surgical outcomes...
September 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28576262/total-laparoscopic-pelvic-exenteration-for-a-laterally-recurrent-cervical-carcinoma-with-a-vesicovaginal-fistula-that-developed-after-concurrent-chemoradiotherapy
#15
Hiroyuki Kanao, Yoichi Aoki, Tsuyoshi Hisa, Nobuhiro Takeshima
OBJECTIVE: For locally advanced cervical carcinoma, concurrent chemoradiotherapy (CCRT) is the standard treatment, however, CCRT can lead to development of a vesicovaginal or rectovaginal fistula [1]. Treatment options are limited for patients with laterally recurrent cervical carcinoma and fistula formation after CCRT. Chemotherapy with bevacizumab is now used for recurrent or advanced cervical carcinoma, but this treatment is associated with fistula formation [2]. When the recurrent mass is confined to the pelvic cavity, complete surgical resection with negative margins offers the most promise; however, the resectability rate is low in cases of laterally recurrent tumor [3], which may include bony structures, and survival outcomes seem to be poor in cases of a laterally recurrent vs...
August 2017: Gynecologic Oncology
https://www.readbyqxmd.com/read/28573407/presentation-and-management-of-vesicovaginal-fistulae-after-delivery-at-a-german-women-s-hospital
#16
Christl Reisenauer
Vesicovaginal fistulae are rarely seen after childbirth in developed countries. This article deals with the causes, presentation, and management of obstetric vesicovaginal fistulae in patients treated at a German women's hospital.
June 1, 2017: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/28467691/quality-of-life-among-women-in-bangladesh-following-ileal-conduit-urinary-diversion-operations-for-irreparable-vesicovaginal-fistula-and-bladder-exstrophy-observational-study
#17
S H Walker, B Ambauen-Berger, S L Saha, S Akhter
OBJECTIVE: To determine the quality of life (QOL) of fistula patients in Bangladesh who have undergone ileal conduit (IC) urinary diversion operations, and to assess whether the risks and ethical challenges involved, outweigh the reality of leaving a woman with urinary incontinence for the rest of her life. DESIGN: Observational study. SETTING: LAMB Hospital, Bangladesh. POPULATION: Seventeen women who had undergone IC between February 2012 and March 2016: 14 women previously had irreparable obstetric fistulas and three had bladder exstrophy...
May 3, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28436361/robotic-repair-of-vesicovaginal-fistulas-using-fibrin-sealant
#18
G Luke Machen, Leah R Chiles, John Joyce, Kristofer R Wagner
INTRODUCTION: Although infrequent, when encountered vesicovaginal fistulas (VVF) are a difficult condition for both patients and physicians alike. After the first robotic repair was described in 2005, this has been an increasingly common treatment modality. At our institution between 2009 and 2014, eleven of these patients were evaluated and treated with robotic repair. However, fibrin sealant was used in place of the traditional tissue flap. Included are six patients who had previously undergone operative repair...
April 2017: Canadian Journal of Urology
https://www.readbyqxmd.com/read/28421899/prolapse-of-the-bladder-through-a-vesicovaginal-fistula
#19
Mark Bevill, Maria Voznesensky, Bradley Erickson
No abstract text is available yet for this article.
May 2017: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28414697/feasibility-of-transvesical-robotic-vvf-repair-in-porcine-model
#20
Jang Hee Han, Hong-Wook Kim, Koon Ho Rha, Jang Hwan Kim
Extraperitoneal transvesicoscopic vesicovaginal fistula (VVF) repair has received limited use because of its narrow working space, longer operation time, and technical difficulty. The present study describes the feasibility of robotic-assisted transvesicoscopic VVF repair in an animal model. Two Yorkshire swine underwent robotic-assisted laparoscopic (RAL) VVF repair. With the 4 trocars, an artificial VVF was made in the supratrigonal area and VVF repair was performed in 3 layers as in open VVF repair methods...
June 2017: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
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