2,831 results match your criteria Vesicovaginal Fistula


Single port robotic assisted reconstructive urologic surgery-with the da Vinci SP surgical system.

Transl Androl Urol 2020 Apr;9(2):870-878

Hackensack University Medical Center, Hackensack Meridian School of Medicine at Seton Hall University, NJ, USA.

Background: Single port (SP) robotic assisted laparoscopic surgery was approved by the FDA for urologic surgery and clinically available in 2018. This new robotic system enables a camera and 3 separate instruments, with fully wristed motions, to be placed through a single 25 mm port. This system was designed to perform complex surgery in narrow deep spaces making it very suitable for complex urinary tract reconstruction surgery. Read More

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http://dx.doi.org/10.21037/tau.2020.01.06DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7214978PMC

A Case Series of Robotic-Assisted Rectus Abdominis Flap Harvest for Pelvic Reconstruction: A Single Institution Experience.

J Minim Invasive Gynecol 2020 May 7. Epub 2020 May 7.

Department of Medical and Surgical Gynecology, Mayo Clinic, Phoenix, Arizona.

Study Objective: To analyze outcomes and post-operative complications in patients undergoing robotic-assisted rectus abdominis flap harvest for pelvic floor reconstruction.

Design: Case Series SETTING: Academic Setting PATIENTS: Pelvic Reconstruction Surgery Patients INTERVENTIONS: The rectus abdominis muscle flap can be used as a flap for pelvic reconstruction, providing a large volume of soft tissue that can be used in treatment of many comorbid conditions including genital fistulas, post-radiation pelvic exenteration and abdominoperineal resection defects. Intraperitoneal harvest of the rectus muscle using a robotic approach allows avoidance of laparotomy and subsequent disruption of the anterior rectus sheath, thus preserving the integrity of the abdominal wall. Read More

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http://dx.doi.org/10.1016/j.jmig.2020.04.042DOI Listing

Vaginal Flap Incorporation During Robot-assisted Vesicovaginal Fistula Repair: A Novel Technique for Avoiding Ureteric Reimplantation.

Urology 2020 May 4. Epub 2020 May 4.

Department of Urology, Postgraduate Institute of Medical Education and Research, Chandigarh, India. Electronic address:

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http://dx.doi.org/10.1016/j.urology.2020.04.082DOI Listing

Comparison of urologic complications between laparoscopic radical hysterectomy and abdominal radical hysterectomy: A nationwide study from the National Health Insurance.

Gynecol Oncol 2020 Apr 27. Epub 2020 Apr 27.

Department of Preventive Medicine, Konkuk University School of Medicine, 263 Achasan-ro, Gwangjin-gu, Seoul 05030, South Korea. Electronic address:

Objective: This study aimed to assess the risks of intraoperative and postoperative urologic complications between laparoscopic radical hysterectomy (LRH) and abdominal radical hysterectomy (ARH).

Methods: Using the database of the National Health Insurance Service (NHIS) and Health Insurance Review & Assessment (HIRA), we identified all Korean women who underwent radical hysterectomy between 2006 and 2018. Intraoperative and postoperative urologic complications were compared between the ARH and LRH groups. Read More

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http://dx.doi.org/10.1016/j.ygyno.2020.04.686DOI Listing

Bilateral Ureterovaginal Fistulas and Vesicovaginal Fistula in Setting of Retained Pessary.

Urology 2020 Apr 23. Epub 2020 Apr 23.

Department of Urology, University of Virginia, Charlottesville, VA.

Urogenital fistulas in the setting of foreign body are rare. Isolated vesicovaginal fistula is the most common and has been reported in the setting of retained intraureterine device, neglected pessary and atypical insertions related mostly to sexual activity or underlying psychiatric disorders. Combined vesicovaginal and ureterovaginal fistulas related to foreign body are extremely rare. Read More

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http://dx.doi.org/10.1016/j.urology.2020.04.049DOI Listing

[Vesicovaginal fistulas: diagnosis and surgical management].

Urologe A 2020 Apr;59(4):432-441

Klinik und Poliklinik für Urologie, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, 20251, Hamburg, Deutschland.

Vesicovaginal fistulas (VVF) represent a detrimental condition causing psychological, physical and social strain on patients. In developed countries they are predominantly the result of pelvic surgery or radiation therapy, whilst obstetric VVF are common in developing countries due to prolonged and complicated births. The majority of VVF require surgical therapy, thus a comprehensive diagnostic workup is needed. Read More

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http://dx.doi.org/10.1007/s00120-020-01155-3DOI Listing

[Fistula surgery].

Urologe A 2020 Apr;59(4):489-498

Klinik und Poliklinik für Urologie, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland.

Vesicovaginal fistulas are a rare problem in the western world but are frequent occurrences in developing countries. In Germany the most frequent cause is hysterectomy. Vesicovaginal fistulas can be treated by the transvaginal or transabdominal approach depending on the characteristics of the fistula and the patient. Read More

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http://dx.doi.org/10.1007/s00120-020-01167-zDOI Listing

[Technical and peri-operative differences between the transvesical and extravesical approach in laparoscopic repair of vesico-vaginal fistula.]

Arch Esp Urol 2020 Mar;73(2):96-105

Servicio de Urología. Hospital Universitario de San Juan de Alicante. Alicante. España.

Objective: In the laparoscopic/robotic repair (L/R R) of Vesico-vaginal Fistulas (VVF) two types of transvesical and extravesical approaches are used.However, no direct comparisons exist between both surgical approaches Moreover, a lack of clinical guidelines is currently ongoing. Therefore, the selection of the type of approach is based on the preferences of the surgeon without considering the characteristics of each case. Read More

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Healthcare Access as a Risk-Marker for Obstetric Vesicovaginal Fistula in Malawi.

Int J MCH AIDS 2020 28;9(1):4-13. Epub 2019 Dec 28.

Baylor College of Medicine, Department of Obstetrics and Gynecology, 1 Baylor Plaza, Houston, TX, 77030, USA.

Objectives: To determine the association between access to health care among pregnant women in Malawi and occurrence of obstetric vesicovaginal fistula (VVF).

Methods: This was a case-control study using data obtained from patients' records documented by the 'Fistula Care Center-Bwaila Hospital' in Malawi. Socio-demographic characteristics of women with VVF (study arm, n=1046) and perineal tear (control arm, n=37) were examined. Read More

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http://dx.doi.org/10.21106/ijma.292DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7031885PMC
December 2019

Vesicovaginal fistula following pelvic surgery: Our experiences and recommendations for diagnosis and prompt referral.

Aust N Z J Obstet Gynaecol 2020 Feb 21. Epub 2020 Feb 21.

Queen Elizabeth II Jubilee Hospital, Brisbane, Queensland, Australia.

Background: Vesicovaginal fistula (VVF) is an uncommon but known complication of pelvic surgery. Post-operative urine leakage should generate a high index of clinical suspicion for early diagnosis of VVF.

Aims: This study aims to identify areas for improvement and provide recommendations for timely and accurate diagnosis of VVF to minimise patient morbidity. Read More

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http://dx.doi.org/10.1111/ajo.13134DOI Listing
February 2020

Obstetric fistula and safe spaces: discussions of stigmatised healthcare topics at a fistula centre.

Cult Health Sex 2020 Feb 10:1-10. Epub 2020 Feb 10.

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

Obstetric fistula can have major psychosocial repercussions for women and their families, which are often hidden as a result of stigmatisation. We investigated how the sexual function of women with vesicovaginal fistula differs before and after fistula repair at the Fistula Care Centre in Lilongwe, Malawi. Structured interviews and physical examinations were conducted with 115 women from the central region of Malawi. Read More

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http://dx.doi.org/10.1080/13691058.2019.1682196DOI Listing
February 2020

Physical etiology of sexual dysfunction in obstetric fistula patients: A prospective study.

Int J Gynaecol Obstet 2020 May 29;149(2):178-183. Epub 2020 Mar 29.

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

Objective: To understand how the physical etiology of sexual dysfunction among women with obstetric fistulas can inform repair.

Methods: A prospective cohort study included women aged 18 years or over presenting at the Fistula Care Center, Bwaila Maternity Hospital, Lilongwe, Malawi, with obstetric vesicovaginal fistula before and after repair. The study took place between January 1, 2018, and December 31, 2018, and involved physical examinations and interviews. Read More

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http://dx.doi.org/10.1002/ijgo.13106DOI Listing

[Nephrostomy with coaxial balloon occlusion of the ureters for the treatment of a patient with multiple post-radiation vesicovaginal and vesicorectal fistulas].

Urologiia 2019 12(6):106-108

Department of Urology of Central State Medical Academy of Management Department of the President of Russian Federation, Center of urology of Federal State Budgetary Institution Clinical Hospital of Management Deprtment of the President of Russian Federation, Moscow, Russia.

Post-radiation fistulas are one of the most severe complications of radiotherapy performed for pelvic malignant tumours. A method of coaxial nephrostomy with a putting an occlusive balloon has been proposed for palliative treatment, preparation to surgical treatment or improving the quality of life of patients with contraindications for surgical procedures. A clinical case of a patient with multiple post-radiation vesicovaginal and vesicorectal fistulas who was successfully treated using the proposed method, is presented in the article. Read More

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December 2019

Surgical outcomes of vesicovaginal fistulae in patients with previous pelvic radiotherapy.

Int Urogynecol J 2020 Jan 27. Epub 2020 Jan 27.

Department of Urology, University College London Hospital at Westmoreland Street, 16-18 Westmoreland Street, London, W1G 8PH, UK.

Introduction And Hypothesis: Vesicovaginal fistulae (VVF) repair success rates for simple surgical fistulae are high, but constitute a significantly greater challenge when occurring in a radiotherapy field. We aim to evaluate the causes, assessment, closure rates and functional outcomes of VVF surgery in patients with previous radiotherapy.

Methods: Data on all VVF repairs were collected prospectively. Read More

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http://dx.doi.org/10.1007/s00192-019-04217-zDOI Listing
January 2020

Robot-assisted vesicovaginal fistula repair - initial experience.

Scand J Urol 2020 Apr 24;54(2):147-149. Epub 2020 Jan 24.

Department of Urology, Aarhus University Hospital, Aarhus, Denmark.

To report our initial experience of robot-assisted vesicovaginal fistula (VVF) repair. Data from all patients who underwent robot-assisted VVF repair from August 2015 to October 2018 were analyzed. Preoperative data included age, BMI, smoking status, alcohol consumption, etiology of fistula and location and size of fistula. Read More

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http://dx.doi.org/10.1080/21681805.2020.1716846DOI Listing

Our commitment for a fistula-free Kenya.

Authors:
M Kenyatta

BJOG 2020 05 16;127(6):709. Epub 2020 Feb 16.

Government of Kenya, Nairobi, Kenya.

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http://dx.doi.org/10.1111/1471-0528.16112DOI Listing

Baseline renal function and renal ultrasound findings in patients with obstetric fistulas (RENFRU): a prospective cohort study.

BJOG 2020 Jun 19;127(7):897-904. Epub 2020 Feb 19.

Freedom from Fistula, Lilongwe, Malawi.

Objective: To describe and compare baseline renal anatomy and renal function in patients with obstetric fistulas, and to evaluate whether preoperative renal testing and imaging may aid with operative decision making.

Design: A prospective cohort study.

Setting: Fistula Care Centre in Malawi. Read More

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http://dx.doi.org/10.1111/1471-0528.16106DOI Listing

The mobile surgical outreach program for management of patients with genital fistula in the Democratic Republic of Congo.

Int J Gynaecol Obstet 2020 Jan;148 Suppl 1:27-32

Department of Urogynecology, Panzi General Referral Hospital, Bukavu, Democratic Republic of Congo.

Objective: To describe components of the mobile surgical outreach (MSO) program as a model of care delivery for women with genital fistula; present program results; and discuss operational strengths and challenges.

Methods: A retrospective observational study of routinely collected health data from women treated via the MSO program (2013-2018). The program was developed at Panzi Hospital in the Democratic Republic of Congo to meet the needs of women with fistula living in remote provinces, where travel is prohibited. Read More

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http://dx.doi.org/10.1002/ijgo.13036DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7003762PMC
January 2020

Challenges in the field of obstetric fistula.

Int J Gynaecol Obstet 2020 Jan;148 Suppl 1:6-8

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

Thirteen years after the last supplement on obstetric fistula, the authors challenge the progress achieved. Citing the ongoing need for a standardized classification system, uniform surgical training and certification, evaluation, follow-up, and research, we emphasize the need for improved communication and coordination between government and nongovernment entities invested in ending obstetric fistula. Struck by the call by the United Nations to end obstetric fistula by 2030, we stress the need for increased and targeted funding of programs that are of the highest quality and impact. Read More

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http://dx.doi.org/10.1002/ijgo.13032DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7004184PMC
January 2020

Rising trends in iatrogenic urogenital fistula: A new challenge.

Int J Gynaecol Obstet 2020 Jan;148 Suppl 1:33-36

Department of Maternal and Child Health, Pakistan Institute of Medical Sciences, Islamabad, Pakistan.

Objective: To analyze trends in iatrogenic urogenital fistula among patients admitted for fistula repair at the Pakistan Institute of Medical Sciences, Islamabad.

Methods: In this longitudinal study, all patients who presented for fistula repair between 2006 and 2018 were included in the study. Patient data were collected on age, parity, and type and etiology of fistula, which was classified as ischemic or iatrogenic. Read More

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http://dx.doi.org/10.1002/ijgo.13037DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7004097PMC
January 2020

Addressing the fistula treatment gap and rising to the 2030 challenge.

Int J Gynaecol Obstet 2020 Jan;148 Suppl 1:9-15

Fistula Surgery Training Initiative, FIGO (International Federation of Gynecology and Obstetrics), London, UK.

Obstetric fistula is a neglected public health and human rights issue. It occurs almost exclusively in low-resource regions, resulting in permanent urinary and/or fecal incontinence. Although the exact prevalence remains unknown, it starkly outweighs the limited pool of skilled fistula surgeons needed to repair this childbirth injury. Read More

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http://dx.doi.org/10.1002/ijgo.13033DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7004198PMC
January 2020

A retrospective review to identify criteria for incorporating the Singapore flap and gracilis muscle flap into obstetric fistula repair.

Int J Gynaecol Obstet 2020 Jan;148 Suppl 1:37-41

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

Objective: To identify criteria to guide surgeons regarding indications for use of the Singapore and gracilis muscle flaps in obstetric fistula repair.

Methods: This is a retrospective case series. Obstetric fistula surgeons in Lilongwe, Malawi, have been incorporating plastic surgery techniques with the Singapore and gracilis muscle flaps since collaborating with plastic surgeons in 2016. Read More

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http://dx.doi.org/10.1002/ijgo.13038DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7003827PMC
January 2020

Knowledge of obstetric fistula among prenatal clinic attendees and midwives in Mfantsiman municipality, Ghana.

Int J Gynaecol Obstet 2020 Jan;148 Suppl 1:16-21

Department of Obstetrics and Gynecology, Komfo Anokye Teaching Hospital, Kumasi, Ghana.

Objective: To determine obstetric fistula knowledge among prenatal attendees and midwives in Mfantsiman municipality, Ghana.

Methods: An analytical cross-sectional study was conducted among prenatal clinic attendees and midwives in Mfantsiman municipality from March to April, 2016. Women were selected by systematic sampling and consenting midwives were recruited. Read More

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http://dx.doi.org/10.1002/ijgo.13034DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7004089PMC
January 2020

Rehabilitation and reintegration programming adjunct to female genital fistula surgery: A systematic scoping review.

Int J Gynaecol Obstet 2020 Jan;148 Suppl 1:42-58

Department of Obstetrics and Gynecology, Makerere University College of Health Sciences, Kampala, Uganda.

Background: Female genital fistula is associated with significant physical, psychological, and economic consequences; however, a knowledge and practice gap exists around services adjunct to fistula surgery.

Objectives: To examine rehabilitation and reintegration services provided adjunct to genital fistula surgery, map existing programming and outcomes, and identify areas for additional research.

Search Strategy: We searched the published and grey literature from January 2000 to June 2019. Read More

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http://dx.doi.org/10.1002/ijgo.13039DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7003948PMC
January 2020
1.563 Impact Factor

A review of surgical procedures to repair obstetric fistula.

Int J Gynaecol Obstet 2020 Jan;148 Suppl 1:22-26

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

Although approximately 2 million women suffer from an obstetric fistula, the surgical literature is sparse. This review examines the evidence published to date. The most relevant surgical evidence is included, highlighting the need for further scientific investigations to contribute to our surgical practice. Read More

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http://dx.doi.org/10.1002/ijgo.13035DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7003810PMC
January 2020

Leaving no one behind: Is the achievement of the Sustainable Development Goals possible without securing the dignity, rights, and well-being of those who are "invisible"?

Int J Gynaecol Obstet 2020 Jan;148 Suppl 1:3-5

Technical Division, Campaign to End Fistula, Maternal and Newborn Health Thematic Fund, United Nations Population Fund, New York, NY, USA.

The persistence of obstetric fistula-a devastating childbirth injury occurring largely among poor, marginalized women and girls-constitutes a human rights violation and a public health crisis. The Sustainable Development Goals (SDGs) aim to "leave no one behind." Failing to eliminate fistula jeopardizes attainment of several of the SDGs. Read More

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http://dx.doi.org/10.1002/ijgo.13031DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7004130PMC
January 2020

[Model predicting failure in surgical repair of obstetric vesicovaginal fistula].

Pan Afr Med J 2019 16;34:91. Epub 2019 Oct 16.

Département de Gynécologie-Obstétrique, Faculté de Médecine, Université de Lubumbashi, Lubumbashi, République Démocratique du Congo.

Introduction: There are more than 2 million cases of genital fistula in sub-Saharan Africa and in Asia. They occur in people living in areas where the access to medical care during pregnancy and childbirth are limited or of poor quality and where few hospitals can provide adequate surgical repair. The purpose of this study was to develop a score to predict the factors influencing failure in surgical repair of obstetric vesicovaginal fistula (VVF) in the southeastern part of the province of the Upper Katanga. Read More

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http://dx.doi.org/10.11604/pamj.2019.34.91.20547DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6945673PMC
January 2020

"I feel myself incomplete, and I am inferior to people": experiences of Sudanese women living with obstetric fistula in Khartoum, Sudan.

Reprod Health 2019 Dec 21;16(1):183. Epub 2019 Dec 21.

Institute of Health and Society, Department of Community Medicine and Global Health, University of Oslo, P.O. Box 1130 Blindern, 0318, Oslo, Norway.

Background: Obstetric fistula is among the most devastating maternal morbidities that occur as a result of prolonged, obstructed labor. Usually, the child dies in a large number of the cases. Moreover, some of the women become infertile while the majority suffer physical, psychosocial and economic challenges. Read More

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http://dx.doi.org/10.1186/s12978-019-0846-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6925495PMC
December 2019

Extended bladder catheterization for women with positive dye tests after obstetric vesicovaginal fistula repair surgery.

Int J Gynaecol Obstet 2020 Apr 8;149(1):61-65. Epub 2020 Jan 8.

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

Objective: To determine the success rate and factors that result in a negative dye test after extended bladder catheterization after surgery for obstetric fistula.

Methods: A retrospective cohort study was carried out on women who underwent obstetric fistula repair in Malawi and had ≥14 days of bladder catherization. Variables such as age, class of fistula, previous repairs, menopausal status, and HIV status were examined for association with successful healing at the end of the catheterization period. Read More

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http://dx.doi.org/10.1002/ijgo.13088DOI Listing

Delivery mode for prolonged, obstructed labour resulting in obstetric fistula: a retrospective review of 4396 women in East and Central Africa.

BJOG 2020 May 2;127(6):702-707. Epub 2020 Jan 2.

Centre of Excellence in Women and Child Health, Aga Khan University, Nairobi, Kenya.

Objective: To evaluate the mode of delivery and stillbirth rates over time among women with obstetric fistula.

Design: Retrospective record review.

Setting: Tanzania, Uganda, Kenya, Malawi, Rwanda, Somalia, South Sudan, Zambia and Ethiopia. Read More

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http://dx.doi.org/10.1111/1471-0528.16047DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7187175PMC

Platelet-Rich Plasma as Adjuvant Therapy for Recurrent Vesicovaginal Fistula: A Prospective Case Series.

J Clin Med 2019 Dec 2;8(12). Epub 2019 Dec 2.

nd Department of Gynecology, Medical University in Lublin, Jaczewskiego 8, 20-954 Lublin, Poland.

:Vesicovaginal fistula (VVF) is the nonphysiological communication between the bladder and vagina, and surgical closure is the gold treatment standard. Despite that successful closure occurs in around 85% of patients after the first repair, recurrence remains a highly distressing complication for patients and surgeons. The aim of our study was to evaluate the efficacy of a platelet-rich plasma (PRP) injection as a supportive treatment in the surgical repair of recurrent VVF. Read More

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http://dx.doi.org/10.3390/jcm8122122DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6947156PMC
December 2019

Effect of laparoscopic versus abdominal radical hysterectomy on major surgical complications in women with stage IA-IIB cervical cancer in China, 2004-2015.

Gynecol Oncol 2020 01 2;156(1):115-123. Epub 2019 Dec 2.

Department of Obstetrics and Gynecology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China. Electronic address:

Objectives: To report the trends in surgical approaches and compare the major surgical complication rates of laparoscopic and abdominal radical hysterectomy for cervical cancer.

Methods: From the major surgical complications of cervical cancer in China (MSCCCC) database, we obtained the demographic, clinical, treatment hospital and complication data of patients with cervical cancer who underwent radical hysterectomy from 2004 to 2015 at 37 hospitals. The patients were assigned to the laparoscopic and abdominal surgery groups. Read More

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http://dx.doi.org/10.1016/j.ygyno.2019.10.032DOI Listing
January 2020

Schistosomiasis among obstetric fistula patients in Lilongwe, Malawi.

Malawi Med J 2018 Dec;30(4):225-229

Freedom from Fistula Care Centre.

Background: infection has been documented as an uncommon cause of vesicovaginal fistula (VVF) and can result in impaired wound healing of urogenital tissues. For these reasons, it could potentially be linked to an increased rate of obstetric fistula among women who experience obstructed labor and/or in a higher failure rate of fistula repair. Therefore, the primary objective of our study was to determine the prevalence of infection among women undergoing obstetric VVF repair in Lilongwe, Malawi. Read More

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http://dx.doi.org/10.4314/mmj.v30i4.3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6863410PMC
December 2018

Prognostic factors and long-term outcomes of obstetric fistula care using the Tanguiéta model.

Int J Gynaecol Obstet 2020 Mar 24;148(3):331-337. Epub 2020 Jan 24.

Gynecology Division, Department of Gynecology and Obstetrics, Geneva University Hospitals, Geneva, Switzerland.

Objectives: To identify factors influencing the long-term prognosis after surgical repair of obstetric fistula, establish a prognosis-based classification system, and examine changes in quality of life after surgery.

Methods: A retrospective study of 308 women who underwent obstetric fistula repair at Saint Jean de Dieu Hospital, Tanguiéta, Benin, between 2008 and 2016, and were supported by a multidisciplinary management model. All participants were from rural areas of Burkina Faso. Read More

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http://dx.doi.org/10.1002/ijgo.13071DOI Listing
March 2020
1.563 Impact Factor

An evaluation of the impact of post-hysterectomy vesicovaginal fistula repair on the mental health of patients in a developed country.

Int Urogynecol J 2019 Nov 27. Epub 2019 Nov 27.

Department of Urology, Yotsuya Medical Cube, Tokyo, Japan.

Introduction And Hypothesis: Obstetric vesicovaginal fistulae (VVFs) occur frequently as a result of childbirth in developing countries, but occurrence of VVFs in developed countries is rare and is generally observed after hysterectomy. Moreover, there are no reports regarding the effect of post-hysterectomy VVF repair on the patients' mental health in developed countries. Our study aimed to confirm the effect of post-hysterectomy VVF repair on Japanese iatrogenic VVF patients' mental health. Read More

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http://dx.doi.org/10.1007/s00192-019-04131-4DOI Listing
November 2019

Vaginal stones caused by urethrovaginal fistula: A case report.

Medicine (Baltimore) 2019 Nov;98(47):e18003

Department of Gynecology and Obstetrics, West China Second Hospital, Sichuan University.

Rationale: Vaginal stone is a rare condition that is often misdiagnosed due to its low incidence. It can be divided into 2 types, primary vaginal and secondary vaginal, based on the etiology of the disease. Vaginal stones involve pathologic calcification. Read More

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http://dx.doi.org/10.1097/MD.0000000000018003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6882588PMC
November 2019

A rare case of iatrogenic vesicovaginal fistula arising from a forgotten gauze strip during Caesarean section.

Urol Case Rep 2020 Jan 31;28:101061. Epub 2019 Oct 31.

Department of Urology, UMHAT, Ruse, Bulgaria.

The incidence of iatrogenic vesicovaginal fistulas in women after gynecological surgery is 82%, as hysterectomy being the most common cause for them - 88%. We presented a rare case of iatrogenic vesicovaginal fistula resulting from a series of errors and forgotten gauze strip in a 26-years-old woman after a third Caesarean section. Read More

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http://dx.doi.org/10.1016/j.eucr.2019.101061DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6861554PMC
January 2020

Neglected intrauterine fetal demise for more than two decades leading to the development of a lithopedion: a case report.

J Med Case Rep 2019 Nov 12;13(1):330. Epub 2019 Nov 12.

Department of Radiology, Addis Ababa University, College of Health Sciences, Addis Ababa, Ethiopia.

Background: Lithopedion is a word derived from the Greek words lithos, meaning stone, and paidion, meaning child, to describe a fetus that has become stony or petrified. Lithopedion is a rare complication of pregnancy which occurs when a fetus dies and becomes too large to be reabsorbed by the body. This entity in rare circumstances can be challenging for physicians to diagnose since it has a range of clinical manifestations. Read More

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http://dx.doi.org/10.1186/s13256-019-2264-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6849196PMC
November 2019

Vesico-Vaginal Fistula: Nature and Evidence-Based Minimally Invasive Surgical Treatment.

Surg Technol Int 2019 11;35:189-198

Department of Minimally Invasive Surgery Unit, Centro Hospitalar Universitário do Porto Porto, Portugal.

The present review aims to analyze the current information available on the pathophysiology, clinical presentation and treatment of vesico-vaginal fistulas (VVF), with particular focus on the safety and efficacy of minimally invasive surgical (MIS) techniques. Through the use of the PubMed and Google Scholar databases, we conducted a literature review of all available studies related to MIS treatment of VVF, focusing on laparoscopic techniques. After abstracts were read to identify pertinent studies, full manuscripts were reviewed by two authors according to the aim of the review. Read More

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November 2019
1 Read

Creation of a Y-shaped ileal orthotopic neobladder after an anterior pelvic exenteration in 10 logical steps.

Int J Gynecol Cancer 2020 01 23;30(1):152-153. Epub 2019 Oct 23.

Department of Surgical Oncology, Institut Claudis Regaud, Institut Universitaire du Cancer, Toulouse, France

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http://dx.doi.org/10.1136/ijgc-2019-000862DOI Listing
January 2020

Vesicovaginal fistula: Review and recent trends.

Indian J Urol 2019 Oct-Dec;35(4):250-258

Department of Urology, KIMS Hospitals, Secunderabad, Telangana, India.

Vesicovaginal fistula (VVF) is an abnormal communication between the bladder and the vagina. Prompt diagnosis and timely repair are essential for successful management of these cases. As the clinical scenario is variable, it is difficult to frame uniform guidelines for the management of VVF. Read More

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http://dx.doi.org/10.4103/iju.IJU_147_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6792412PMC
October 2019
1 Read

[Urogenital fistulas at Sikasso: about 150 cases].

Pan Afr Med J 2019 21;33:133. Epub 2019 Jun 21.

Service Urologie, Hôpital de Sikasso, Sikasso Ville, Mali.

This study aims to analyze the epidemiological, clinical, therapeutic and anatomopathologic features of urogenital fistulas. We conducted a retrospective study of patients with urogenital fistulas admitted to the department of general surgery and gynecology and obstetrics between January 1, 2014 and December 30, 2015, including the first 5 fistula repair campaigns organized by the Fistula Mali project. Urogenital fistulas account for 19. Read More

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http://dx.doi.org/10.11604/pamj.2019.33.133.16455DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6754838PMC
October 2019
2 Reads

[Tuberculous vesicovaginal fistula complicated by bladder stones: about an exceptional case].

Pan Afr Med J 2019 19;33:126. Epub 2019 Jun 19.

Service d'Anatomopathologie, Centre Hospitalier Universitaire Hassan II de Fès, Fès, Maroc.

Vesicovaginal fistula (VVF) continues to be a major public health problem in developing countries. Given the particular association of VVF with stones, the question that arises is whether the fistula is primary or secondary to bladder stone and then whether to use single-stage or two-stage treatment. But what is special about this study is that these rare clinical features are due to tuberculosis. Read More

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http://dx.doi.org/10.11604/pamj.2019.33.126.16674DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6754842PMC
October 2019
5 Reads

Transrenal Ureteral Occlusion for Palliation of Refractory Urine Leaks Using Vascular Plugs and Liquid Ethylene Vinyl Alcohol.

J Vasc Interv Radiol 2019 Dec 14;30(12):1994-2001. Epub 2019 Sep 14.

Division of Interventional Radiology, Department of Radiology, University of Massachusetts Medical School-Baystate, Baystate Medical Center, 759 Chestnut Street, Springfield, MA 01199.

Purpose: To describe outcomes of transrenal embolization with vascular plugs and ethylene vinyl alcohol (EVOH) in a case series of patients with refractory urinary leak or fistula.

Materials And Methods: Fifteen ureteral occlusions performed over 53 months in 9 consecutive patients (56% female; mean age 61 y; range, 45-80 y) were reviewed retrospectively. The main indication was palliation for refractory fistula or leak in the setting of malignancy not responding to urine diversion by percutaneous nephrostomy tube or nephroureteral stent. Read More

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http://dx.doi.org/10.1016/j.jvir.2019.04.029DOI Listing
December 2019
2 Reads

Slice.

Authors:
Claudia May

Fam Syst Health 2019 09;37(3):270-272

Bethel University.

In his attempts to treat the condition vesicovaginal fistula, Dr. J. Marion Sims experimented on black slave women during the 1800s. Read More

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http://dx.doi.org/10.1037/fsh0000428DOI Listing
September 2019
8 Reads

Prospective randomized comparison of repairing vesicovaginal fistula with or without the interposition flap: Result from a tertiary care Institute in Northern India.

Turk J Urol 2019 09 1;45(5):377-383. Epub 2019 Sep 1.

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

Objective: Assessment of results of repairing vesicovaginal fistula (VVF) with or without the use of interposition flaps.

Material And Methods: This prospective randomized study was conducted between January 2012 to December 2017 in the Department of Urology, King George's Medical University, Lucknow, India. Obstetric and gynecological simple fistula of ≤4 cm were included for evaluation. Read More

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https://turkishjournalofurology.com/eng/makale/3516/184/Full
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http://dx.doi.org/10.5152/tud.2019.85233DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6739083PMC
September 2019
3 Reads

Obstetric Fistula Repair in Sub-Saharan Africa: Partnering to Create Sustainable Impact for Patients and Trainees.

R I Med J (2013) 2019 Sep 3;102(7):21-24. Epub 2019 Sep 3.

Department of Obstetrics and Gynecology, Women and Infants Hospital of Rhode Island, Warren Alpert Medical School of Brown University, Providence, RI.

Obstetric fistula, an abnormal connection between a woman's genital tract and urinary tract or rectum, can be physically and psychosocially debilitating. We describe a sustainable obstetric fistula surgical trip model that includes providers from Women and Infants Hospital at Brown University. These surgical trips provide pre-operative, surgical, and post-operative care to patients with fistulae at Kibagabaga Hospital in Kigali, Rwanda. Read More

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September 2019

Regular Low-Dose Oral Metronidazole Is Associated With Fewer Vesicovaginal and Rectovaginal Fistulae in Recurrent Cervical Cancer: Results From a 10-Year Retrospective Cohort.

J Glob Oncol 2019 09;5:1-10

Christian Medical College, Vellore, India.

Purpose: Anaerobic necrosis in cervical cancer can lead to malodor, fistulae, and treatment abandonment. In this retrospective cohort study, we examined the association between maintenance metronidazole and the incidence of malignant fistulae in recurrent cervical cancer.

Methods: We screened all cervical cancer records registered between 2007 and 2016 in the local palliative care database at Christian Medical College, Vellore, India. Read More

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http://dx.doi.org/10.1200/JGO.19.00206DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6733185PMC
September 2019
1 Read

Urethro-vaginal reflux during micturition: An underestimated cause of urinary incontinence in adult women.

Neurourol Urodyn 2019 09 10;38(7):1953-1957. Epub 2019 Jul 10.

Neuro-Urology Department, Tenon Hospital, APHP East Hospital Group, Paris, France.

Aims: To evaluate if urethrovaginal reflux (UVR) is an underestimated cause of insensible or postmicturition incontinence in adult women.

Methods: An observational and retrospective study was carried out on the computerized records of a neuro-urology department. Female patients who had insensible or postmicturition incontinence were investigated. Read More

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http://dx.doi.org/10.1002/nau.24098DOI Listing
September 2019
3 Reads