Salvage Repair of Vesicovaginal Fistula

Urology Journal

关键词: recurrence;    urologic surgical procedures;    surgical flaps;    vaginal fistula;    treatment outcome;   

DOI  :  

来源: DOAJ

【 摘 要 】

Purpose: To present the long-term results of failed vesicovaginal fistula repair using flap splitting techniques. Materials and Methods: Nine women with a previous failed vesicovaginal fistula repair, aged 18 to 69 years, underwent salvage vaginal reconstruction for damaged urethra or bladder, at a five-year interval lasting from 2003 to2007. Fistulas were repaired using an interposed pediculated vaginal wall flap. Results: The repair was successful in all the patients, even in those with rectovesicovaginal fistula or a large vesicovaginal fistula with sphincterdamage. Conclusion: Pediculated vaginal wall flap is an easily-prepared, well–vascularized tissue, which provides long-term favorable outcomes.

【 授权许可】

Unknown