keyword
https://read.qxmd.com/read/38110316/-clinical-application-effect-of-pedunculated-rectus-abdominis-muscle-combined-with-bilateral-ureters-for-repairing-refractory-bladder-vaginal-stump-fistula-through-external-vesical-drainage
#21
JOURNAL ARTICLE
G C Wang, G Y Wang, J Zhao, L L Guo, K K Tian, T Wang, C Q Gao, L J Li, Y J Liu, G Q Zhang, Y C Wang, L L Ding, Z Zhang, C Wang, Z C Qi
Objective: To investigate the efficacy and safety of pedunculated rectus abdominis combined with bilateral ureteral extravestheter drainage in the treatment of refractory bladder-vaginal stump fistula. Methods: The clinical data of 8 cases of the refractory bladder-vaginal stump fistula were admitted to the Second Hospital of Hebei Medical University and Henan Cancer Hospital and underwent the clinical treatment of bladder-vaginal stump from December 2019 to December 2022 were collected. The reason of refractory bladder-vaginal stump fistula was analyzed, the operation manner of pedunculated rectus abdominis combined with peduncle and bilateral ureter for the treatment of bladder-vaginal stump through extrabladder drainage was explored...
December 23, 2023: Zhonghua Zhong Liu za Zhi [Chinese Journal of Oncology]
https://read.qxmd.com/read/38076019/vesicovaginal-fistula-associated-with-massive-bladder-calculi-an-urogynecological-case-report
#22
Muna Sharma, Mitesh Karn, Hritika Adhikari, Binita Basnet, Ishuvi Bhattarai, Sachita Chapagain, Chandika Pandit
In developing countries, VVF mainly occurs due to obstructed labor unlike developed countries where common causes are radiotherapy and malignancy. Due to social taboos, patients do not seek medical attention for problems like urinary incontinence and dysuria, thus presenting very late.
December 2023: Clinical Case Reports
https://read.qxmd.com/read/38041900/management-and-long-term-clinical-outcomes-of-patients-with-stage-iva-cervical-cancer-with-bladder-involvement
#23
JOURNAL ARTICLE
Julie Sammouri, Aradhana M Venkatesan, Lilie L Lin, Anuja Jhingran, Ann H Klopp, Melissa M Joyner, Patricia J Eifel, Lauren E Colbert
OBJECTIVE: To describe the long-term outcomes of patients with stage IVA cervical cancer, a rare and deadly disease for which long-term toxicity data are scarce, to guide clinician counseling and survivorship support. METHODS: In a retrospective review of a prospectively maintained database, we identified 76 patients with stage IVA cervical cancer with biopsy- or MRI-proven bladder mucosal involvement who received definitive radiotherapy (external beam radiotherapy [EBRT] alone or EBRT plus brachytherapy) with or without chemotherapy at our institution between 2000 and 2020...
December 1, 2023: Gynecologic Oncology
https://read.qxmd.com/read/38033311/repair-of-vesicovaginal-fistulae-a-systematic-review
#24
JOURNAL ARTICLE
Jennifer C Thompson, Gabriela E Halder, Peter C Jeppson, Alexandriah Alas, Sunil Balgobin, Alexis A Dieter, Sara Houlihan, Jeannine Miranne, Ambereen Sleemi, Ethan M Balk, Saifuddin Mama, Kate V Meriwether, Danielle D Antosh
OBJECTIVE: To assess and compile the current level of evidence regarding successful surgical treatment of vesicovaginal fistulae and how these perioperative interventions affect anatomic, patient-centered, and adverse outcomes. DATA SOURCES: PubMed and EMBASE were searched from inception through September 9, 2022. METHODS OF STUDY SELECTION: This review included comparative studies (of any sample size) and single-group studies (1,000 or more participants) of primary or recurrent vesicovaginal fistula (ie, vesicovaginal fistula, urethrovaginal fistula, and bladder neck-vaginal fistula)...
November 30, 2023: Obstetrics and Gynecology
https://read.qxmd.com/read/38031210/the-usage-of-gellhorn-pessary-in-pelvic-organ-prolapse-and-in-regards-to-success-continuity-of-use-and-effect-on-symptoms-a-retrospective-study-of-2-years
#25
JOURNAL ARTICLE
S Ramanujam, S Balakrishnan
INTRODUCTION: Pelvic organ prolapse (POP) is a condition involving weakened pelvic floor muscles causing organs to protrude. Conservative POP treatment comprises pelvic floor exercises and vaginal pessaries. Besides conservative care, surgery is offered. However, surgery is invasive, risky and unsuitable for those with serious medical conditions. This study aims to assess the acceptance, success and outcomes of the Gellhorn pessary for POP treatment, especially in advanced cases. MATERIALS AND METHODS: The present study is a retrospective cohort study using hospital medical records (patient files) from October 2019 to November 2021 (for 2 years)...
November 2023: Medical Journal of Malaysia
https://read.qxmd.com/read/38003996/vesicovaginal-fistulas-prevalence-impact-and-management-challenges
#26
REVIEW
Orawee Chinthakanan, Pokket Sirisreetreerux, Apisith Saraluck
Background and Objectives: Vesicovaginal fistulas (VVFs) are an abnormal communication between the vagina and bladder and the most common type of acquired genital fistulas. This review will address the prevalence, impact, and management challenges of VVFs. Materials and Methods: Epidemiologic studies examining VVFs are considered. In addition, publications addressing the treatment of VVFs are reviewed. Results: VVFs in developing countries are often caused by obstructed labor, while most VVFs in developed countries have iatrogenic causes, such as hysterectomy, radiation therapy, and infection...
November 3, 2023: Medicina
https://read.qxmd.com/read/37978796/enhanced-proliferation-and-adhesion-marker-gene-expression-in-fibroblast-cells-evaluating-the-efficacy-of-a-non-surgical-treatment-for-urogenital-fistula
#27
JOURNAL ARTICLE
Efriyan Imantika, R M Sonny Sasotya, Edwin Armawan, Kevin D Tjandraprawira, Rodiani Rodiani, Taufiqurrahman Rahim
BACKGROUND Vesicovaginal fistula (VVF) due to posterior bladder wall and/or anterior vaginal wall necrosis is a condition that leads to urinary incontinence. Both microscopic and macroscopic VVFs severely impact quality of life. They are also associated with frequent recurrence after surgery. A non-surgical intervention for VVF is urgently required. A membrane bilayer could act as a mechanical tamponade and stimulate defect closure. MATERIAL AND METHODS This is an experimental study that explored the characteristics of mucoadhesive bilayer membrane complexes for non-operative treatment of VVF in vitro...
November 18, 2023: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://read.qxmd.com/read/37849264/-pelvic-exenteration-for-late-complications-of-radiation-induced-pelvic-injury-a-preliminary-study
#28
JOURNAL ARTICLE
Y J He, Z L Zhou, Q Y Qin, B J Huang, X Y Huang, J M Li, M M Zhu, B Yao, D J Wang, J G Qiu, H Wang, T H Ma
Objective: To investigate the safety and efficacy of total pelvic exenteration (TPE) for treating late complications of radiation-induced pelvic injury. Methods: This was a descriptive case series study. The inclusion criteria were as follows: (1) confirmed radiation-induced pelvic injury after radiotherapy for pelvic malignancies; (2) late complications of radiation-induced pelvic injury, such as bleeding, perforation, fistula, and obstruction, involving multiple pelvic organs; (3) TPE recommended by a multidisciplinary team; (4) patient in good preoperative condition and considered fit enough to tolerate TPE; and (5) patient extremely willing to undergo the procedure and accept the associated risks...
October 25, 2023: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/37810549/mixed-primary-and-secondary-vaginal-calculi-a-case-report
#29
Ghassan Alhajress, Nasser Albqami, Ahmed I Nazer, Omar B Alfraidi, Faisal Khalid Balaraj, Abdullah Alsaghyir, Yahya Ghazwani
Vaginal calculi are classified according to the pathogenesis of calculus formation. Primary and secondary vaginal calculi. In this article, we present an interesting case that we believe to be a mixed primary and secondary vaginal calculi in which both originated as a result of a vesicovaginal fistula (VVF) and stitches found in the vagina. Although vaginal calculi are a rare disease, a high index of suspicion is needed, especially in patients with a history of gynecological procedures. Since the high recurrence rate of VVF along with its complications, more frequent follow-up and physical examination are required to avoid the recurrence of the disease...
October 2023: Journal of Surgical Case Reports
https://read.qxmd.com/read/37785686/risk-factors-and-clinical-features-of-fistula-after-concurrent-chemoradiation-and-brachytherapy-for-locally-advanced-cervical-cancer
#30
JOURNAL ARTICLE
N Ali, K Sykes Martin, R Tobillo, A McCook, J Switchenko, J W Shelton, A B Patel, P R Patel, T Y Eng, J S Remick
PURPOSE/OBJECTIVE(S): The standard treatment for locally advanced cervical cancer (LACC) is concurrent chemoradiation and brachytherapy (CRT-B). Fistula formation is a serious complication of treatment; however, risk factors and clinical outcomes are not well described. We sought to identify the incidence, risk factors and prognosis of radiation-induced fistula in women who underwent CRT-B for LACC. MATERIALS/METHODS: A single institution retrospective review of patients treated with CRT-B for LACC from July 2013 to August 2022 across 3 centers was performed...
October 1, 2023: International Journal of Radiation Oncology, Biology, Physics
https://read.qxmd.com/read/37785678/can-volume-based-mri-guided-planning-for-interstitial-gynecologic-brachytherapy-overcome-clinicopathologic-risk-factors-for-fistula-formation
#31
JOURNAL ARTICLE
A P Sivananthan, J Hara, C Lynch, H A Al-Hallaq, T Wu, C H Son, Y Hasan
PURPOSE/OBJECTIVE(S): Tumor and patient factors requiring an interstitial (IS) approach for gynecologic tract brachytherapy (BT) may be associated with high morbidity despite the conformality maximizing effect of ISBT. We reviewed outcomes from a diverse, high-volume center to evaluate the association of clinical features and planning parameters with toxicity, with the hypothesis that MRI-guided volume-based planning mitigates clinicopathologic risk factors associated with treatment related fistula (TRF) after ISBT...
October 1, 2023: International Journal of Radiation Oncology, Biology, Physics
https://read.qxmd.com/read/37742200/long-term-sexual-outcomes-of-mayer-rokitansky-k%C3%A3-ster-hauser-syndrome-patients-after-uncu-modified-davydov-procedure
#32
JOURNAL ARTICLE
K Aslan, T B Gurbuz, A Orhan, I Kasapoglu, K Ozerkan, G Uncu
BACKGROUND: Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome has an incidence of 1 in 4000. The absence of the vagina and uterus results in sexual dysfunction and infertility. The first-line treatment is vaginal dilatation. There exists a number of second-line surgical options including the Uncu-modified Davydov procedure. OBJECTIVE: To determine the complication rate, anatomical outcomes, and long-term sexual outcomes of MRKH syndrome patients after Uncu-modified Davydov procedure...
September 2023: Facts, Views & Vision in ObGyn
https://read.qxmd.com/read/37734334/the-microcirculation-of-vaginal-tissue-in-women-with-obstetric-vesicovaginal-fistula-and-short-term-effects-of-surgical-repair-on-microvascular-parameters
#33
JOURNAL ARTICLE
Lennart P Maljaars, Arnoud W Kastelein, Yani P Latul, Gerald Nakoma, Ennet Chipungu, Jan-Paul W R Roovers, Rachel J Pope
OBJECTIVES: To better understand the extent of the ischemic trauma and the effects of surgical repair on the vaginal microcirculation in patients with obstetric vesicovaginal fistula (VVF). DESIGN: In this observational study, we evaluated the vaginal microvasculature surrounding VVF using handheld vital microscopy (HVM) before, during and two weeks after surgical VVF repair. PARTICIPANTS: Seventeen women undergoing VVF repair were included in this study...
September 21, 2023: Gynecologic and Obstetric Investigation
https://read.qxmd.com/read/37690546/a-novel-perivesical-fat-rotational-flap-as-an-alternative-to-omental-interposition-in-challenging-urological-reconstruction
#34
Alexander Hwang, Matthew Watson, Sriharsha Talluri, Henry Okafor, Amar Singh
OBJECTIVE: We aim to introduce the application of the perivesical fat rotational flap as a substitute for omental interposition during several complex urologic reconstruction. We highlight our technique using a case of salvage prostatectomy after initial high intensity focused ultrasound (HIFU) for recurrent high risk prostate cancer requiring future adjuvant radiation treatment. We have also successfully used this technique in the management of recurrent vesicovaginal, colovesical, rectourethral fistulas, and post radiation salvage prostatectomy setting...
September 8, 2023: Urology
https://read.qxmd.com/read/37689018/high-dose-60%C3%A2-gy-intensity-modulated-radiotherapy-with-concurrent-weekly-cisplatin-followed-by-intracavitary-radiation-in-locally-advanced-cervical-cancer-a-phase-ii-prospective-clinical-trial
#35
JOURNAL ARTICLE
Hyo Chun Lee, Jae Won Jeong, Joo Hwan Lee, Sung Hwan Kim, Dong Chun Park, Joo Hee Yoon, Sang Il Kim, Jong Hoon Lee
OBJECTIVE: Radiotherapy dose-escalation using intensity-modulated radiotherapy (IMRT) has been necessary to improve treatment results in cervical cancer. METHODS: This was a phase II prospective clinical trial. 88 patients with FIGO II-IVa cervical cancer were enrolled in a single center. They received high-dose (60 Gy) IMRT with weekly cisplatin to the primary tumor and clinically positive nodes followed by intracavitary radiation. The primary endpoint was 30-month PFS rate (Target; 82%, an increase of 20% compared to GOG 120 trial using standard-dose radiotherapy)...
October 2023: Gynecologic Oncology
https://read.qxmd.com/read/37629745/gynecological-fistulae-has-anything-changed-in-the-diagnosis-and-treatment-over-the-last-decade-a-narrative-literature-review
#36
REVIEW
Marek Misiak, Michalina Dworak, Małgorzata Wyszomirska, Maria Kurt, Maciej Walędziak, Anna Różańska-Walędziak
Gynecological fistulae are a rare but severe complication of radiation therapy, pelvic surgery, prolonged labor, cesarean deliveries, or inflammatory bowel diseases. A gynecological fistula is an abnormal pathway formed between the urinary and gynecological tract, most commonly located between the urinary bladder and vagina. Vesico-uterine and vesicovaginal fistulae are an important health issue, common in women of reproductive age in developing countries with limited access to obstetrical care. Various surgical techniques have been described for VVF repair, depending on the location, severity, and cause of the fistula and the surgeon's experience...
August 12, 2023: Medicina
https://read.qxmd.com/read/37551246/effects-of-methimazole-vs-propylthiouracil-in-newborns-a-comparative-review
#37
REVIEW
Mehak Bhagat, Purnima Singh, Sindhu Meghana Sunkara, Merin T Abraham, Maria Jimena Barroso Alverde, Sravya R Mundla, Andrea Mizrahi Drijanski, Anna Jobilal, Mohit Lakkimsetti, Nandini Nair, Waleed Razzaq, Zain U Abdin, Ishita Gupta
Hyperthyroidism is more common in women and the sensitivity of thyroid function changes during pregnancy. Excess levels of thyroid hormones and thioamides have a major impact on maternal and fetal outcomes. Our aim was to perform an extensive literature review and provide relevant details concerning the analytical and clinical aspects of the potential effects of the two main drugs used (methimazole and propylthiouracil) in newborns. A thorough literature review was conducted using PubMed and Google Scholar databases...
July 2023: Curēus
https://read.qxmd.com/read/37493226/perioperative-outcomes-of-vesicovaginal-fistula-repair-by-surgical-approach
#38
JOURNAL ARTICLE
Francis A Jefferson, Kristine T Hanson, Maraika O Robinson, Elizabeth B Habermann, Annetta M Madsen, John B Gebhart, Brian J Linder
IMPORTANCE: Data comparing perioperative outcomes between transvaginal, transabdominal, and laparoscopic/robotic vesicovaginal fistula (VVF) repair are limited but are important for surgical planning and patient counseling. OBJECTIVE: This study aimed to assess perioperative morbidity of VVF repair performed via various approaches. STUDY DESIGN: The American College of Surgeons National Surgical Quality Improvement Program database was used to identify women who underwent transvaginal, transabdominal, or laparoscopic/robotic VVF repair from 2009 to 2020...
July 7, 2023: Urogynecology (Phila)
https://read.qxmd.com/read/37484789/surgical-and-quality-of-life-outcomes-following-robotic-assisted-da-vinci-laparoscopic-repair-of-vesicovaginal-fistula-a-case-report-and-video-demonstration
#39
Elias Tsakos, Emmanouil M Xydias, Apostolos C Ziogas, Kanelina Bimpa, Stergios K Doumouchtsis, Georgios Karydas, Vasileios Moros, Vasileios Poulakis
This report presents the case of a 63-year-old woman who developed a vesicovaginal fistula as a complication of a previous total hysterectomy. The fistula was treated with the use of the da Vinci X surgical system by a multi-disciplinary operating team, including senior Robotic Urological and Gynecological Surgeons at St. Luke's Hospital in Thessaloniki, Greece. The patient was monitored up to 12 months post-op at the time of writing and she was asked to evaluate post-op quality of life using the SF-36 and ICIQ-SF-UI questionnaires...
July 2023: Curēus
https://read.qxmd.com/read/37481705/experiences-with-an-extraperitoneal-transvesicoscopic-repair-of-a-vesicovaginal-fistula
#40
JOURNAL ARTICLE
Hongwook Kim, ChangHee Hong, JangHwan Kim
Purpose A vesicovaginal fistula (VVF) is a debilitating condition for women in terms of both its personal and social impacts. A reported transperitoneal laparoscopic approach to treatment has some limitations such as risk of intra-peritoneal organ injury and unnecessary bladder dissection. We here report on our experiences with an extraperitoneal transvesicoscopic approach to a VVF repair, which overcomes these drawbacks. Materials and Methods Seven VVF patients were treated using the transvesicoscopic approach...
July 26, 2023: Urology Journal
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