2,752 results match your criteria Vesicovaginal Fistula


[Prophylactic hysterectomy in Lynch syndrome: feasibility and outcomes].

Gynecol Obstet Fertil Senol 2019 Apr 16. Epub 2019 Apr 16.

Assistance Publique-Hôpitaux de Paris, Hôpital Européen Georges-Pompidou, Chirurgie Cancérologique Gynécologique et du Sein, Paris, France; Université Paris Descartes, INSERM UMR-S 747, Paris, France; Université Paris Descartes, Sorbonne Paris Cité, Faculté de Médecine, Paris, France. Electronic address:

Objectives: Lynch syndrome (LS) is a hereditary predisposition to cancers, first of all, colo-rectal and endometrial cancers in women. Although recommended, gynecologic screening has never proven its benefit. Prophylactic surgery can be consider once the parental project is completed. Read More

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http://dx.doi.org/10.1016/j.gofs.2019.04.010DOI Listing

Neglected doughnut pessary in the uterine cavity.

BMJ Case Rep 2019 Apr 14;12(4). Epub 2019 Apr 14.

Department of Obstetrics and Gynaecology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.

Vaginal pessary is a practical and effective tool for pelvic organ prolapse management. Nevertheless, serious complications can occur in neglected patients such as vesicovaginal and rectovaginal fistula, erosion and impaction in adjacent structures. We report a case of neglected pessary found in the uterine cavity. Read More

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http://dx.doi.org/10.1136/bcr-2018-228415DOI Listing
April 2019
1 Read

Predictors of Obstetric Fistula Repair Outcomes in Lubango, Angola.

J Obstet Gynaecol Can 2019 Apr 12. Epub 2019 Apr 12.

Program in Global Surgery and Social Change, Harvard Medical School, Boston, MA; Center for Surgery and Public Health,(,) Brigham and Women's Hospital, Harvard Medical School, Boston, MA.

Objective: Obstetric fistulas have a significant physical and social impact on many women in Angola. The majority of the population of this sub-Saharan African nation does not have access to high-quality obstetric care, and this is associated with a risk of prolonged labour and formation of obstetric fistulas. Fistulas are challenging to correct surgically and may require repeated operations. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17012163193008
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http://dx.doi.org/10.1016/j.jogc.2019.01.025DOI Listing
April 2019
2 Reads

Transvaginal Repair of Vesico Vaginal Fistula: A 10-Year Experience with Analysis of Factors Affecting Outcomes.

Urol Int 2019 Apr 10:1-5. Epub 2019 Apr 10.

Department of Urology, King George's Medical University, Lucknow, India.

Objectives: To highlight the transvaginal route as an excellent approach for repair of a simple trigonal, supra-trigonal vesico-vaginal and urethrovaginal fistulae without compromising on the successful patient outcomes. We also determine factors affecting outcomes in such patients.

Materials And Methods: A retrospective analysis was carried out on 58 patients with simple trigonal, supra trigonal and urethrovaginal fistula who underwent transvaginal repair in the last 10 years. Read More

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http://dx.doi.org/10.1159/000499411DOI Listing
April 2019
2 Reads

An estradiol releasing, proangiogenic hydrogel as a candidate material for use in soft tissue interposition.

Neurourol Urodyn 2019 Mar 25. Epub 2019 Mar 25.

Department of Material Science and Engineering, Kroto Research Institute, University of Sheffield, Sheffield, UK.

Introduction And Objectives: Soft tissue interposition (STI) using local and/or regional flaps is often necessary in urogenital reconstruction to stimulate wound healing and prevent recurrence. Harvesting STI flaps can cause donor site morbidity and may not be available in some patients. In this study, we designed estradiol (E2) releasing hydrogel that could be used as an alternative to a STI flap and to investigate its ability to stimulate tissue production and angiogenesis. Read More

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http://dx.doi.org/10.1002/nau.23971DOI Listing
March 2019
2 Reads

Removal of the entire internal iliac vessel system is a feasible surgical procedure for locally advanced ovarian carcinoma adhered firmly to the pelvic sidewall.

Int J Clin Oncol 2019 Mar 20. Epub 2019 Mar 20.

Department of Gynecology, Chiba University Graduate School of Medicine, 1-8-1, Inohana, Chuo-ku, 2608677, Chiba city, Chiba, Japan.

Background: Ovarian carcinomas sometimes grow in the pelvic cavity, adhering firmly to the pelvic sidewall. These cases are often considered as inoperable or result in the incomplete resection because the tumors are not mobile. We performed en bloc resection of the tumors along with the entire internal iliac vessel system to achieve complete resection. Read More

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http://dx.doi.org/10.1007/s10147-019-01429-7DOI Listing
March 2019
1 Read

Our Experience with Iatrogenic Ureteric Injuries among Women Presenting to University College Hospital, Ibadan: A Call to Action on Trigger Factors.

Obstet Gynecol Int 2019 10;2019:6456141. Epub 2019 Feb 10.

Genitourinary/Urogynaecology Unit, Faculty of Clinical Science, UI, Ibadan, Nigeria.

Background: Ureteric injuries leading to ureterovaginal fistula (UVF) is less common than vesicovaginal fistula, as a cause of urinary incontinence. Recently, there is a surge in the number of UVF cases presenting to University College Hospital (UCH) following a caesarean delivery. The urogynaecology unit at UCH is at the forefront of providing surgical repair for women with all forms of genitourinary fistulas. Read More

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http://dx.doi.org/10.1155/2019/6456141DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6387707PMC
February 2019
1 Read

J. Marion Sims, MD: Why He and His Accomplishments Need to Continue to be Recognized a Commentary and Historical Review.

Authors:
Leonard F Vernon

J Natl Med Assoc 2019 Mar 6. Epub 2019 Mar 6.

Sherman College of Chiropractic Spartanburg, SC, USA. Electronic address:

This review provides a fresh perspective on the work of J. Marion Sims, an Antebellum era physician who invented the vaginally speculum that bears his name. His accent to become the "Father of Modern Gynecology" was his groundbreaking development of the surgical techniques for the repair for vesicovaginal fistula. Read More

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http://dx.doi.org/10.1016/j.jnma.2019.02.002DOI Listing
March 2019
2 Reads

A grounded theory of regaining normalcy and reintegration of women with obstetric fistula in Kenya.

Reprod Health 2019 Mar 8;16(1):29. Epub 2019 Mar 8.

University of Toronto, Dalla Lana School of Public Health, 155 College St. ON M57 3M7, Toronto, Canada.

Background: Obstetric fistula is a reproductive health problem causing immense suffering to 1% of women in Kenya that is formed as sequelae of prolonged obstructed labour. It is a chronic illness that disrupts women lives, causing stigma and isolation. Fistula illness often introduces a crisis in women's life begetting feelings of shame and serious disruption to their social, psychological, physical and economic lives, in addition to dealing with moral and hygiene challenges. Read More

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http://dx.doi.org/10.1186/s12978-019-0692-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6408802PMC
March 2019
1 Read

Trends in Surgical Exposure and Experience in Female Pelvic Medicine and Reconstructive Surgery Fellowship Programs.

Female Pelvic Med Reconstr Surg 2019 Feb 28. Epub 2019 Feb 28.

From the Department of Obstetrics, Gynecology and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, NY.

Objectives: This study aimed to characterize variations in female pelvic medicine and reconstructive surgery (FPMRS) fellows' surgical experiences, concurrence with Accreditation Council for Graduate Medical Education (ACGME) proposed procedural volume guidelines, and to explore how these factors affect self-assessed preparedness to practice independently upon graduation.

Methods: An electronic survey was sent to 166 fellows enrolled in ACGME-approved FPMRS fellowship programs during the 2017-2018 academic year. The survey included questions on demographics, program specifics, desires for future practice, case volume, and self-assessed ability to independently perform selected procedures. Read More

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http://dx.doi.org/10.1097/SPV.0000000000000709DOI Listing
February 2019
7 Reads

Reintegration needs of young women following genitourinary fistula surgery in Uganda.

Int Urogynecol J 2019 Feb 27. Epub 2019 Feb 27.

Department of Obstetrics and Gynaecology, Makerere University, Kampala, Uganda.

Introduction And Hypothesis: Genitourinary fistulas (usually arising following prolonged obstructed labor) are particularly devastating for women in low-income counties. Surgical repair is often difficult and delayed. While much attention has been devoted to technical surgical issues, the challenges of returning to normal personal, family, and community life after surgical treatment have received less scrutiny from researchers. Read More

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http://link.springer.com/10.1007/s00192-019-03896-y
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http://dx.doi.org/10.1007/s00192-019-03896-yDOI Listing
February 2019
4 Reads

Approach to Ureterovaginal Fistula: Examining 13 Years of Experience.

Female Pelvic Med Reconstr Surg 2019 Mar/Apr;25(2):e7-e11

Northwestern University, Chicago, IL.

Objective: We describe the management and outcomes of ureterovaginal fistulas over a 13-year period and present a treatment algorithm.

Methods: We performed a review of ureterovaginal fistula cases between January 2005 and December 2017 at our tertiary academic center. Demographics, diagnostic approaches, and treatment outcomes were assessed. Read More

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http://dx.doi.org/10.1097/SPV.0000000000000690DOI Listing
February 2019
1 Read

Genitourinary Fistula: A Curse to Neglected Pregnancy.

Mymensingh Med J 2019 Jan;28(1):206-213

Dr Nasrin Akhter, Associate Professor, Department of Obstetrics & Gynecology, Dhaka Medical College, Dhaka, Bangladesh.

Genitourinary fistula is a psychophysiosocial distress that results in prolonged labour. Gradually, it has become a public health issue globally with advancing of its incidence day by day. A handsome number of mothers are also suffering in Bangladesh from genitourinary fistula. Read More

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January 2019
1 Read

Cystoscopy at the time of benign hysterectomy: a decision analysis.

Am J Obstet Gynecol 2019 Apr 24;220(4):369.e1-369.e7. Epub 2019 Jan 24.

Division of Urogynecology, Department of Obstetrics and Gynecology, Trinity Health of New England, Hartford, CT.

Background: Gynecologists debate the optimal use for intraoperative cystoscopy at the time of benign hysterectomy. Although adding cystoscopy leads to additional up-front cost, it may also enable intraoperative detection of a urinary tract injury that may otherwise go unnoticed. Prompt injury detection and intraoperative repair decreases morbidity and is less costly than postoperative diagnosis and treatment. Read More

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http://dx.doi.org/10.1016/j.ajog.2019.01.217DOI Listing
April 2019
7 Reads

Predictors of Urinary Retention After Vesicovaginal Fistula Surgery: A Retrospective Case-Control Study.

Female Pelvic Med Reconstr Surg 2019 Jan 23. Epub 2019 Jan 23.

International Training and Education Center for Health, University of Washington, Seattle, WA.

Objective: The objective of this study is to determine the predictors for urinary retention after vesicovaginal fistula surgery.

Methods: This was a retrospective case-control study of women who underwent vesicovaginal fistula repair between January 2014 and December 2017 at the Fistula Care Centre in Lilongwe, Malawi. Cases were defined as patients with documented urinary retention, defined as a postvoid residual that is 50% greater than the total void of at least 100 mL. Read More

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http://dx.doi.org/10.1097/SPV.0000000000000694DOI Listing
January 2019
2 Reads

Transvesical laparoendoscopic single-site surgery to repair a vesicovaginal fistula in man after female to male sex reassignment.

Cent European J Urol 2018 27;71(4):481. Epub 2018 Sep 27.

University of Warmia and Mazury, Faculty of Medicine, Department of Urology, Olsztyn, Poland.

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http://dx.doi.org/10.5173/ceju.2018.1751DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6338807PMC
September 2018
1 Read

Which factors affecting the success of iatrogenic obstetric vesical fistulas?

Ann Ital Chir 2018 ;89:534-539

Aim: In developing countries, surgery, birth traumas, and especially gynecological procedures are the most common cause of vesicovaginal fistulas (VVFs). We retrospectively evaluated our treatment modalities for VVF repair caused by obstetric causes and compared with the current literature.

Materials And Methods: We compared the surgical approach preferences and their results with patient characteristics as well as fistula size and location for the management of VVFs. Read More

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January 2018
4 Reads

Robotic Repair of Supratrigonal Vesicovaginal Fistula with Sigmoid Epiploica Interposition.

JSLS 2018 Oct-Dec;22(4)

Western New York Urology Associates, Cheektowaga, New York, USA.

Introduction And Hypothesis: In the United States, vesicovaginal fistula (VVF) most often results from gynecologic surgery causing significant morbidity and distress to both the patient and surgeon. The use of tissue interposition at time of primary repair has been advocated to decrease the risk of recurrence. The aim of this study is to describe our experience with interposition of sigmoid epiploica during robotic extravesical repair of supratrigonal VVF. Read More

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http://dx.doi.org/10.4293/JSLS.2018.00055DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6328364PMC
March 2019
2 Reads

Retrograde Pyelogram during intended Cystogram: A Rare complication of a common procedure.

J Clin Imaging Sci 2018 12;8:55. Epub 2018 Dec 12.

Department of Urology, MIOT Hospitals, Chennai, Tamil Nadu, India.

Inadvertent placement of the urinary catheter into the ureter can cause several complications. We describe a rare complication during cystogram due to unrecognized inadvertently placed urinary catheter in ureter, resulting in a life-threatening situation. A 47-year-old multiparous female underwent total laparoscopic hysterectomy for adenomyosis. Read More

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http://www.clinicalimagingscience.org/text.asp?2018/8/1/55/2
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http://dx.doi.org/10.4103/jcis.JCIS_59_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6302557PMC
December 2018
21 Reads

Clinical relevance and treatment outcomes of vesicovaginal fistula (VVF) after obstetric and gynecologic surgery.

Taiwan J Obstet Gynecol 2019 Jan;58(1):111-116

Fellow, Division of Urogynaecology, Department of Obstetrics and Gynaecology, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan, Taiwan, Republic of China; Department of Obstetrics and Gynecology, Dr. Pablo O. Torre Memorial Hospital, Bacolod City, Philippines.

Objective: Vesicovaginal fistulas (VVF) are consequences from obstetric and gynecologic surgery. Treatment approach from either abdominal or vaginal route have its own pros and cons. The study aims to present the anatomical, clinical and lower urinary tract symptom outcomes of women with VVF. Read More

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http://dx.doi.org/10.1016/j.tjog.2018.11.021DOI Listing
January 2019
4 Reads

Transabdominal repair of vesicovaginal fistulae: A 10-year tertiary care hospital experience in Nigeria.

Niger Postgrad Med J 2018 Oct-Dec;25(4):213-219

Department of Anaesthesia, College of Medicine of University of Lagos/Lagos University Teaching Hospital, Lagos, Nigeria.

Background: Vesicovaginal fistula (VVF) is still a major cause for concern in many developing countries. Arguments continue as to the best approach for repair. This study aimed to present our experience with transabdominal VVF repair. Read More

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http://www.npmj.org/text.asp?2018/25/4/213/248212
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http://dx.doi.org/10.4103/npmj.npmj_154_18DOI Listing
December 2018
3 Reads

Robot-assisted vesicovaginal fistula repair via a transvesical approach.

Int Urogynecol J 2019 Feb 18;30(2):327-329. Epub 2018 Dec 18.

Division of Urogynecology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.

Objective: The objective of this video is to demonstrate a technique for robot-assisted vesicovaginal fistula (VVF) repair utilizing a mini cystotomy with a transvesical approach.

Methods: A 53-year-old female developed a VVF after she underwent an abdominal hysterectomy for uterine fibroids at an outside facility. She was referred to us following two failed VVF repairs (one vaginal, one abdominal with bladder bivalving and omental flap). Read More

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http://link.springer.com/10.1007/s00192-018-3843-8
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http://dx.doi.org/10.1007/s00192-018-3843-8DOI Listing
February 2019
16 Reads

Pubococcygeal Sling versus Refixation of the Pubocervical Fascia in Vesicovaginal Fistula Repair: A Retrospective Review.

Obstet Gynecol Int 2018 31;2018:6396387. Epub 2018 Oct 31.

Baylor College of Medicine, Department of Obstetrics and Gynecology, Division of Global Women's Health, 6651 Main St., Houston, TX 77030, USA.

Urethral incontinence is an issue for approximately 10-15% of women with an obstetric fistula. Various surgical interventions to prevent this exist, including the pubococcygeal sling and refixation of the pubocervical fascia. Neither has been evaluated in comparison to one another. Read More

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https://www.hindawi.com/journals/ogi/2018/6396387/
Publisher Site
http://dx.doi.org/10.1155/2018/6396387DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6234447PMC
October 2018
6 Reads

Feasibility and acceptability of the menstrual cup for non-surgical management of vesicovaginal fistula among women at a health facility in Ghana.

PLoS One 2018 28;13(11):e0207925. Epub 2018 Nov 28.

Department of Obstetrics and Gynaecology, School of Medicine and Dentistry, College of Health Sciences, University of Ghana, Legon, Ghana.

Objective: To assess the feasibility of the menstrual cup for short-term management of urinary leakage among women with vesicovaginal fistula (VVF).

Methods: A repeated measures design compared volume of leakage with and without the cup via a 2-hr pad test among women with VVF seeking surgical repair at a health facility in Ghana. Subsequently a gynecological exam was administered to assess safety outcomes, followed by a questionnaire to assess acceptability and perceived efficacy. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0207925PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6261596PMC
November 2018
12 Reads

Spectrum of urologic complications in obstetrics and gynecology: 13 years' experience from a tertiary referral center.

Turk J Urol 2018 Nov 26:1-6. Epub 2018 Nov 26.

Department of Urology, King George's Medical University, Lucknow, India.

Objective: To analyze the patterns of presentation and management for urologic complications of obstetrics and gynecology in the form of genitourinary fistulas at a tertiary referral center and highlight the social issues associated with them.

Material And Methods: We conducted this retrospective study analyzing 311 patients with genitourinary fistulas after obstetric and gynecologic surgeries between January 2005 and January 2018. We recorded the patients' characteristics and area of residence and then analyzed the etiology, surgical management and success rates by grouping the patients into four types of genitourinary fistulas. Read More

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http://dx.doi.org/10.5152/tud.2018.92072DOI Listing
November 2018
5 Reads

Abdominal Approach to Vesicovaginal Fistula.

Urol Clin North Am 2019 Feb;46(1):135-146

Department of Urology, Montefiore Medical Center, 1250 Waters Place, Tower 2, Suite 706, Bronx, NY 10461, USA. Electronic address:

Principles of abdominal vesicovaginal fistula (VVF) repair include good exposure of the fistulous tract, double-layer bladder closure, retrograde fill of the bladder to ensure a water-tight seal, tension-free closure and continuous postoperative bladder drainage. Minimally invasive approaches, particularly robot-assisted laparoscopy, have demonstrated shorter operative times, decreased blood loss, improved visibility, and similar cure rates without increased adverse events. These techniques are therefore rising in popularity among surgeons. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00940143183007
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http://dx.doi.org/10.1016/j.ucl.2018.08.011DOI Listing
February 2019
22 Reads

Vaginal Approach to Vesicovaginal Fistula.

Urol Clin North Am 2019 Feb;46(1):123-133

Department of Urology, UT Southwestern Medical Center at Dallas, 5323 Harry Hines Boulevard, JA5- 130 C, Dallas, TX 75390-9110, USA. Electronic address:

Vesicovaginal fistula is the most commonly encountered sequela of genitourinary trauma. Although the etiology differs between developed and developing countries, the principles of fistula repair must be strictly adhered to for success. Timing and route of repair remain contentious, because of a lack of randomized data. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00940143183007
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http://dx.doi.org/10.1016/j.ucl.2018.08.010DOI Listing
February 2019
15 Reads

Continence, quality of life, and depression following surgical repair of obstetric vesicovaginal fistula: a cohort study.

BJOG 2018 Nov 20. Epub 2018 Nov 20.

Fistula Care Center, Lilongwe, Malawi.

Objective: We evaluated residual incontinence, depression, and quality of life among Malawian women who had undergone vesicovaginal fistula (VVF) repair 12 or more months previously.

Design: Prospective cohort study.

Setting: Fistula Care Centre in Lilongwe, Malawi. Read More

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http://dx.doi.org/10.1111/1471-0528.15546DOI Listing
November 2018
13 Reads

Complete bladder eversion through a vesicovaginal fistula.

Urol Case Rep 2019 Jan 9;22:64-66. Epub 2018 Nov 9.

Department of Urology, Cleveland Clinic Akron General, Akron, OH, United States.

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https://linkinghub.elsevier.com/retrieve/pii/S22144420183036
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http://dx.doi.org/10.1016/j.eucr.2018.11.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6234499PMC
January 2019
13 Reads

Laparoscopic repair of bevacizumab-induced vesicovaginal fistula in metastatic colon cancer - a video vignette.

Colorectal Dis 2019 Jan 1;21(1):123. Epub 2018 Dec 1.

Faculty of Medicine, National Yang-Ming University, Taipei, Taiwan.

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http://doi.wiley.com/10.1111/codi.14477
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http://dx.doi.org/10.1111/codi.14477DOI Listing
January 2019
16 Reads

Colovesical fistula as the initial manifestation of advanced colon cancer: A case report and review of literature.

World J Clin Cases 2018 Oct;6(12):538-541

Department of Radiology, Medical University in Lublin, Lublin 20-081, Polen (POL), Poland.

Colovesical fistulas (CVFs) are rare complications of very advanced cancers of the abdominal or pelvic cavity and often cause diagnostic troubles. CVFs are found more often in males, whereas females usually suffer from rectovaginal or vesicovaginal fistulas. This article presents a case of a female patient who was admitted to the hospital because of acute diarrhea, presumably of infectious origin, and with only subtle abnormalities in blood tests and urinalysis. Read More

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http://www.wjgnet.com/2307-8960/full/v6/i12/538.htm
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http://dx.doi.org/10.12998/wjcc.v6.i12.538DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6212606PMC
October 2018
14 Reads

Vesicovaginal Fistula Following Loop Electrosurgical Excision Procedure: A Case Report.

J Obstet Gynaecol Can 2018 Oct;40(10):1333-1336

Division of Gynecological Oncology, Department of Obstetrics and Gynecology, University of Alberta, Edmonton, AB.

Background: The loop electrosurgical excision procedure (LEEP) is commonly used to treat cervical dysplasia and has few procedural risks. We report a rare complication: vesicovaginal fistula (VFF).

Case: A 47-year-old G3P1 woman with a previous LEEP underwent a second procedure 9 years later and was diagnosed as having microinvasive cervical cancer. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17012163173106
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http://dx.doi.org/10.1016/j.jogc.2018.01.023DOI Listing
October 2018
14 Reads

Trajectories of women's physical and psychosocial health following obstetric fistula repair in Uganda: a longitudinal study.

Trop Med Int Health 2019 Jan 18;24(1):53-64. Epub 2018 Nov 18.

Department of Obstetrics, Gynecology and Reproductive Sciences, Bixby Center for Global Reproductive Health, University of California, San Francisco, CA, USA.

Objectives: To explore trajectories of physical and psychosocial health, and their interrelationship, among women completing fistula repair in Uganda for 1 year post-surgery.

Methods: We recruited a 60-woman longitudinal cohort at surgical hospitalisation from Mulago Hospital in Kampala Uganda (Dec 2014-June 2015) and followed them for 1 year. We collected survey data on physical and psychosocial health at surgery and at 3, 6, 9 and 12 months via mobile phone. Read More

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http://dx.doi.org/10.1111/tmi.13178DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6324987PMC
January 2019
27 Reads

Management of Urethral Lesions and Urethrovaginal Fistula Formation Following Placement of a Tension-Free Suburethral Sling: Evaluation From a University Continence and Pelvic Floor Centre.

Geburtshilfe Frauenheilkd 2018 Oct 19;78(10):991-998. Epub 2018 Oct 19.

Obstetrics and Gynecology, University of Tübingen, Tübingen, Germany.

The complication of tape erosion in the urethra following placement of a retropubic (TVT) or transobturator (TOT) tension-free suburethral vaginal sling or an accidental iatrogenic transurethral tape position can result in the formation of a urethrovaginal or vesicovaginal fistula. The objective of the investigation is the evaluation of the management of such rare complications. Retrospective analysis of 14 patients who were treated for a urethral lesion or urethrovaginal fistula formation status post TVT/TOT placement between June 2011 and February 2018 in the Tübingen University Department of Gynaecology. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0704-3461
Publisher Site
http://dx.doi.org/10.1055/a-0704-3461DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6195430PMC
October 2018
16 Reads

MRI review of female pelvic fistulizing disease.

J Magn Reson Imaging 2018 Nov;48(5):1172-1184

Mayo Clinic Department of Radiology, Rochester, Minnesota, USA.

A wide variety of fistulae occur in the female pelvis, most of which cause significant morbidity. Diagnosis, characterization, and treatment planning may be difficult using traditional imaging modalities such as fluoroscopy and computed tomography. To date, there is no comprehensive literature review of the radiologic findings associated with various types of female pelvic fistulae, and furthermore, none dedicated to magnetic resonance imaging (MRI). Read More

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https://onlinelibrary.wiley.com/doi/pdf/10.1002/jmri.26248
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http://doi.wiley.com/10.1002/jmri.26248
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http://dx.doi.org/10.1002/jmri.26248DOI Listing
November 2018
12 Reads

Migration of a fractured ring IUD resulting in vesicovaginal fistula and vaginal calculus.

Eur J Contracept Reprod Health Care 2018 Oct 16;23(5):387-389. Epub 2018 Oct 16.

a Department of Gynaecology , Taizhou First People's Hospital , Taizhou , China.

Case: Although many complications have been reported with intrauterine contraceptive devices (IUDs), vesicovaginal fistula with secondary vaginal stones is rare. We report the case of a 46-year-old woman who presented with a vaginal discharge lasting 2 months. Two years previously, she had undergone cystoscopic lithotripsy and surgery to remove an IUD, after pelvic radiography had revealed a fractured Chinese stainless steel ring IUD with secondary vesical stones that had been the cause of her urinary tract symptoms. Read More

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https://www.tandfonline.com/doi/full/10.1080/13625187.2018.1
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http://dx.doi.org/10.1080/13625187.2018.1517409DOI Listing
October 2018
20 Reads

Obstetric fistula: The role of physiotherapy: A report from the Physiotherapy Committee of the International Continence Society.

Authors:
Gill Brook

Neurourol Urodyn 2019 Jan 12;38(1):407-416. Epub 2018 Oct 12.

International Organization of Physical Therapists in Women's Health, Burras Lynd, Otley, West Yorkshire, United Kingdom.

Aims: To discuss the role of physiotherapy in the management of women who have suffered an obstetric fistula, referring to research findings when appropriate and available, and the experiences of clinical specialists in the field.

Methods: The experiences of physiotherapists who have worked in countries where obstetric fistula is prevalent, and the limited literature available, were considered in producing this consensus document on behalf of the ICS Physiotherapy Committee.

Results: The role of physiotherapy both pre- and post-fistula repair was identified, and is multi-faceted. Read More

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http://doi.wiley.com/10.1002/nau.23851
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http://dx.doi.org/10.1002/nau.23851DOI Listing
January 2019
4 Reads

Historical Aspects of Race and Medicine: The Case of J. Marion Sims.

Authors:
Keith Wailoo

JAMA 2018 Oct;320(15):1529-1530

Department of History, Princeton University, Princeton, New Jersey.

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http://jama.jamanetwork.com/article.aspx?doi=10.1001/jama.20
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http://dx.doi.org/10.1001/jama.2018.11944DOI Listing
October 2018
6 Reads

Estimating the cost and cost-effectiveness for obstetric fistula repair in hospitals in Uganda: a low income country.

Health Policy Plan 2018 Nov;33(9):999-1008

Department of Health Economics and Outcomes Research, Regeneron Pharmaceuticals, Tarrytown, NY, USA.

In Africa, about 33 000 cases of obstetric fistula occur each year. Women with fistula experience debilitating incontinence of urine and/or faeces and are often socially ostracized. Worldwide, Uganda ranks third among countries with the highest burden of obstetric fistula. Read More

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http://dx.doi.org/10.1093/heapol/czy078DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6263022PMC
November 2018
9 Reads
3.470 Impact Factor

Vesicouterine Fistula (Youssef Syndrome): Case Report and Literature Review.

Rev Bras Ginecol Obstet 2018 Sep 19;40(9):563-569. Epub 2018 Sep 19.

Department of Gynecology, Hospital Paulistano, São Paulo, SP, Brazil.

Objective:  To describe a case of vesicouterine fistula and to review the literature related to this condition.

Methods:  For the review, we accessed the MEDLINE, BIREME and LILACS databases; the references of the searched articles were also reviewed.

Results:  A 38-year-old woman, in the 1st day after her 3rd cesarean, presented heavy hematuria, which was considered secondary to a difficult dissection of the bladder. Read More

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http://dx.doi.org/10.1055/s-0038-1666998DOI Listing
September 2018
11 Reads

A martius flap in the treatment of iatrogenic distal urogenital fistula.

Int Braz J Urol 2018 Nov-Dec;44(6):1265

Clinical Center Nis, Serbia.

Introduction: Distal urogenital fistulas (DUF) are usually iatrogenic and are uncommon in Europe. They occur in the urethra or near the bladder neck, and can be caused by vaginal hysterectomy, para-urethral cyst surgery, or erosion of the bladder or urethra from tension-free slings or meshes. The psychological and physical health consequences of DUF are devastating because most patients consider themselves "healthy" before surgery. Read More

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http://dx.doi.org/10.1590/S1677-5538.IBJU.2017.0444DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442163PMC
February 2019
26 Reads

Laparoscopic approach to vesicovaginal fistulae.

Authors:
S R Ramphal

Best Pract Res Clin Obstet Gynaecol 2019 Jan 27;54:49-60. Epub 2018 Jun 27.

Urogynaecology and Pelvic Floor Unit, Department of Obstetrics and Gynaecology, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa. Electronic address:

The surgical repair of vesicovaginal fistula (VVF) over the last two decades has evolved from the transabdominal/transvaginal route to minimally invasive techniques of laparoscopy and robotic surgery. The indications for laparoscopic repair include supratrigonal fistulae, and stenotic/narrow vaginas that make vaginal access to the fistula site difficult. In the current published literature, comparable results have been reported with open surgery. Read More

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http://dx.doi.org/10.1016/j.bpobgyn.2018.06.008DOI Listing
January 2019
5 Reads

Marital disruption among women with genital fistula in Nigeria: who is at greatest risk?

Int Urogynecol J 2019 Feb 1;30(2):307-312. Epub 2018 Aug 1.

Evangel VVF Centre, Bingham University Teaching Hospital, Jos, Plateau State, Nigeria.

Introduction And Hypothesis: Marital disruption is a commonly identified sequela of genital fistula in developing countries. This study is aimed at identifying factors that correlate with marital outcomes.

Methods: All new patients presenting to Evangel VVF Centre in Jos, Nigeria, between August 2015 and August 2017, were retrospectively reviewed with regard to demographics, medical history, and fistula details to identify variables correlating with marital status, particularly whether currently married or presently divorced, separated, or divorced and remarried (cumulatively the "divorce group"). Read More

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http://dx.doi.org/10.1007/s00192-018-3729-9DOI Listing
February 2019
7 Reads

Robotic uterine-sparing vesicovaginal fistula repair.

Int Urogynecol J 2018 Dec 1;29(12):1845-1847. Epub 2018 Aug 1.

USC Institute of Urology & The Catherine and Joseph Aresty Department of Urology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.

Introduction And Hypothesis: The objective was to describe a technique for the robotic repair of complex vesicovaginal fistula (VVF) with uterine preservation.

Methods: From 2015 to 2017, two patients underwent the procedure. Following placement of the patient in the lithotomy position, catheterization of the fistulous tract and laparoscopic omental harvesting is performed. Read More

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http://link.springer.com/10.1007/s00192-018-3720-5
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http://dx.doi.org/10.1007/s00192-018-3720-5DOI Listing
December 2018
32 Reads

Controversies in the management of vesicovaginal fistula.

Best Pract Res Clin Obstet Gynaecol 2019 Jan 28;54:61-72. Epub 2018 Jun 28.

The Center for Specialized Women's Health, Garden State Urology, Atlantic Health System, 3155 State Route 10E, Suite 100, Denville, NJ, 07834, USA. Electronic address:

Achieving 100% closure and continence rate in the management of vesicovaginal fistulas remains a challenge. There is still debate about several aspects of the care including the following. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S15216934183012
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http://dx.doi.org/10.1016/j.bpobgyn.2018.06.005DOI Listing
January 2019
9 Reads

Sexual Function Before and After Vesicovaginal Fistula Repair.

J Sex Med 2018 Aug 20;15(8):1125-1132. Epub 2018 Jul 20.

Baylor College of Medicine, Department of Obstetrics and Gynecology, Division of Global Women's Health, Houston, TX, USA.

Introduction: Women with vesicovaginal fistulas often experience a disruption in their normal lives, including sexual relationships, because of urinary incontinence.

Aim: Although surgery repairs the urinary leakage, it is not known how surgery might affect sexual function positively or negatively.

Methods: 119 women were enrolled before surgery and interviewed including a revised Female Sexual Distress Scale (FSDS-R) score and examined for vaginal length, caliber, and pelvic floor strength. Read More

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http://dx.doi.org/10.1016/j.jsxm.2018.06.006DOI Listing
August 2018
22 Reads

Closure of a Recurrent Urethrovaginal Fistula in a Girl with Cloacal Anomaly Using Deflux Injection.

European J Pediatr Surg Rep 2018 Jan 18;6(1):e52-e55. Epub 2018 Jul 18.

Department of Paediatric Surgery, King Fahd Armed Forces Hospital, Jeddah, Western, Saudi Arabia.

In a girl born with cloaca, both hemivaginae and rectum were located above the bladder neck, and both ureters were connected to the hemivaginae. After diverting colostomy and cystovaginoscopy on the second day of life, the repair of cloaca was performed at 10 months of age by posterior sagittal anorecto vaginoplasty (PSARVP), including laparotomy and bilateral ureteric reimplantation. Eight months after the surgery, she developed a vesicovaginal fistula, which was repaired and closed by open surgery through the bladder. Read More

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http://dx.doi.org/10.1055/s-0038-1660805DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6051767PMC
January 2018
3 Reads

Unidirectional barbed suture for vaginal cuff closure without backward stitch in total laparoscopic hysterectomy.

J Obstet Gynaecol Res 2018 Sep 18;44(9):1793-1799. Epub 2018 Jul 18.

Women's Health Center, VKF American Hospital, Istanbul, Turkey.

Aim: To evaluate the safety and efficacy of unidirectional barbed suture technique for vaginal cuff closure in total laparoscopic hysterectomy (TLH).

Methods: In a retrospective chart review, data were analyzed from 165 patients who underwent a TLH with an unidirectional barbed suture technique for vaginal cuff closure from January 2012 to June 2016 at tertiary-care university-based teaching hospital and academic affiliated hospital. Vaginal cuff was closed by single layer 3/0 V-Loc unidirectional 9″, 180 day Absorbable Wound Closure Device (Covidien Healthcare, Mansfield, MA) and the suture was not stitched backward to secure distal end. Read More

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http://dx.doi.org/10.1111/jog.13696DOI Listing
September 2018
15 Reads

Vesicovaginal fistula and vesicocutaneous fistula in a patient having pelvic ectopic kidney with pyonephrosis: a unique therapeutic challenge.

BMJ Case Rep 2018 Jul 11;2018. Epub 2018 Jul 11.

Department of Urology, King George's Medical University, Lucknow, Uttar Pradesh, India.

Patients with ectopic kidney require special considerations in their management due to the anatomic characteristics predisposing the kidney to obstruction and related complications. Pelvic ectopic kidneys have the added disadvantage of being confined in the bony pelvis giving less manoeuvrability during surgery of that unit. Vesicovaginal fistulas are usually managed surgically and careful surgical dissection has to be carried out because the highest success rates are usually seen at the first operation. Read More

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http://dx.doi.org/10.1136/bcr-2018-225331DOI Listing
July 2018
7 Reads

Repair of a small and crooked vesicovaginal fistula using electrocauterization.

Asian J Urol 2018 Jul 1;5(3):182-183. Epub 2018 Feb 1.

Department of Urology, Peking University People's Hospital, Beijing, China.

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http://dx.doi.org/10.1016/j.ajur.2018.01.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6033197PMC
July 2018
4 Reads