2,979 results match your criteria Vesicovaginal Fistula


Factors associated with surgical repair success of female genital fistula in the Democratic Republic of Congo: Experiences of the Fistula Care Plus Project, 2017-2019.

Trop Med Int Health 2022 Jun 24. Epub 2022 Jun 24.

Centre National de Formation et de Recherche en Santé Rurale de Maferinyah, Forécariah, Guinea.

Objective: We sought to document outcomes and factors associated with surgical success in hospitals supported by the Fistula Care Plus Project in the DRC, 2017-2019.

Methods: This was a retrospective cohort study analyzing routine repair data on women with Female Genital Fistula. Univariate and multivariate analyses were conducted to determine factors associated with successful fistula repair. Read More

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Suprapubic transvesical mini-laparoscopy as an ideal approach for vesicovaginal fistula repair: Experiences from three patients.

Asian J Surg 2022 Jun 19. Epub 2022 Jun 19.

Department of Urology, China Medical University Hospital, Taichung, 40447, Taiwan; School of Medicine, China Medical University, Taichung, 40402, Taiwan. Electronic address:

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"Labia majora fasciocutaneous flap reconstruction in complex urogynecological fistulas with vaginal deficit - A versatile approach".

Urology 2022 May 30. Epub 2022 May 30.

Senior resident, Department of Urology, JIPMER, Pondicherry, India, 605006. Electronic address:

Objectives: To appraise the pivotal points of different modifications of labia majora fasciocutaneous flap in combating the challenges of complex urogynecological fistula repair in the form of seven cases.

Methods: Seven patients with complex urogynecological fistulas with vaginal deficit were treated over last three years. The challenges associated with them were non-capacious rigid vagina, irradiated and inflamed surrounding tissues, inelasticity, long-standing fistula with radiation-induced vesicovaginal fistula(VVF), an iatrogenic urethrovaginal fistula with anterior vaginal wall loss with vaginal stenosis, and a case of vesicolabial fistula with a history of forceps delivery and transvaginal VVF repair. Read More

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Does freeze dried amnion useful as scaffold for mesenchymal stem cell for repair of vesicovaginal fistula? An overview of proliferative and remodeling phase in the wound healing process.

Eur J Obstet Gynecol Reprod Biol 2022 Jul 20;274:113-116. Epub 2022 May 20.

Department of Obstetrics and Gynecology, Universitas Airlangga-RSUD Dr. Soetomo, Surabaya, Indonesia.

Background: Surgery is still the main solution for vesicovaginal fistula, but postoperative wound healing represents a challenge, and the recurrence rate remains high. There is a need to develop therapeutic methods to increase the success of therapy and women's quality of life.

Objective: To explore whether human freeze-dried amnion is useful as a mesenchymal stem cell scaffold for repair of vesicovaginal fistula through assessment of the proliferative and remodelling phases. Read More

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Suprapubic-assisted transurethral excision of eroded transvaginal cerclage suture.

Int Urogynecol J 2022 May 23. Epub 2022 May 23.

Department of Gynecology, Cleveland Clinic Florida, 2950 Cleveland Clinic Blvd, Weston, FL, 33331, USA.

Aim Of The Video/introduction: The aim was to demonstrate our minimally invasive technique for excision of eroded transvaginal cervical cerclage suture through the bladder mucosa using a suprapubic-assisted transurethral approach. Transvaginal cervical cerclage is a common treatment for cervical insufficiency in pregnancy. Complications such as erosion are rare, as the duration of treatment is typically several months, with cerclage placement in the second trimester and complete removal prior to the onset of labor. Read More

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Platelet Rich Plasma in Gynecology-Discovering Undiscovered-Review.

Int J Environ Res Public Health 2022 04 26;19(9). Epub 2022 Apr 26.

2nd Department of Gynecology, Medical University of Lublin, Jaczewskiego 8, 20-954 Lublin, Poland.

Regenerative medicine combines elements of tissue engineering and molecular biology aiming to support the regeneration and repair processes of damaged tissues, cells and organs. The most commonly used preparation in regenerative medicine is platelet rich plasma (PRP) containing numerous growth factors present in platelet granularities. This therapy is increasingly used in various fields of medicine. Read More

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Laparoscopic Proximally Extended Colorectal Resection With Two-Stage Turnbull-Cutait Pull-Through Coloanal Anastomosis for Late Complications of Chronic Radiation Proctopathy.

Front Surg 2022 25;9:845148. Epub 2022 Apr 25.

Department of Colorectal Surgery, Sun Yat-sen University Sixth Affiliated Hospital, Guangzhou, China.

Background: Chronic radiation proctopathy (CRP) is a common complication after radiation therapy for pelvic malignancies. Compared with diversion surgery, resection surgery removes the damaged tissue completely to avoid the risks of recurrence and improve patients' outcome. Hence, resection surgery could be an optimal surgical approach when CRP is complicated by late complications. Read More

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Bladder stone causing vesicovaginal fistula and migration into the vagina.

BMJ Case Rep 2022 May 9;15(5). Epub 2022 May 9.

Department of Urology, James Cook University Hospital, Middlesbrough, UK.

Bladder stone is a known complication in a neurogenic bladder that can very rarely cause vesicovaginal fistula (VVF). We are presenting the case of a woman in her late 70s, bed bound with progressive multiple sclerosis (MS), who was referred to urology for consideration of suprapubic catheter due to difficulty in managing her indwelling urethral catheter. The ultrasonogram (USG) identified a 4. Read More

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Natural Orifice Transurethral Endoscopic Vesicovaginal Fistula (NOTE-VVF) Treatment for Early and Small Fistulas: Case Report and the Point of Technique.

Cureus 2022 Apr 3;14(4):e23786. Epub 2022 Apr 3.

History of Medicine and Ethics, Erciyes University, Kayseri, TUR.

Minimally invasive surgical approaches have become highly popular in line with technological advancements. In vesicovaginal fistula (VVF) repair, numerous minimally invasive surgical techniques have been described, namely, laparoscopic, robotic, and transvaginal techniques, and used. However, these techniques still require invasiveness. Read More

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Tear of Vaginal Lobular Capillary During Micturition Resulting in Vesicovaginal Fistula: A Case Report.

Int Med Case Rep J 2022 26;15:225-230. Epub 2022 Apr 26.

Department of Obstetrics and Gynecology, Panzi General Referral Hospital, Bukavu, The Democratic Republic of Congo.

We report an unusual case of female genital fistula secondary to a lobular capillary hemangioma. A 35-year-old Congolese woman presented with urinary incontinence associated with a vaginal "tearing" sensation during micturition. A suburethral vascular bud and vesico-vaginal fistula were observed on examination. Read More

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Vaginal repair of vesicovaginal fistula: comparison of national practice patterns by surgeon specialty.

Int Urogynecol J 2022 Jun 19;33(6):1675-1683. Epub 2022 Apr 19.

Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, 3032 Old Clinic Building, CB#7570, Chapel Hill, NC, 27599, USA.

Introduction And Hypothesis: There are limited data comparing patient and operative characteristics for vaginal repair of vesicovaginal fistula (VVF) by surgeon specialty. Our objective was to compare national practice patterns by surgeon specialty for vaginal repair of VVF.

Methods: Using the American College of Surgeons National Surgical Quality Improvement Program database, we conducted a retrospective cohort analysis of women who underwent vaginal repair of VVF from 2010 to 2019. Read More

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Bladder Eversion Through a Vesicovaginal Fistula in a Patient With Uterine Procidentia: A Case Report.

Female Pelvic Med Reconstr Surg 2022 Jun 15;28(6):e231-e232. Epub 2022 Apr 15.

Division of Urogynecology, The Oregon Clinic, Portland, OR.

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Robotic-assisted vesicovaginal fistula repair using a vaginal cuff flap.

Int Urogynecol J 2022 Mar 12. Epub 2022 Mar 12.

The Catherine and Joseph Aresty Department of Urology, USC Institute of Urology, Keck School of Medicine, University of Southern California, 1441 Eastlake Avenue, Suite 7416, Los Angeles, CA, 90089-9178, USA.

Introduction And Hypothesis: Vesicovaginal fistula (VVF) is an abnormal communication between the bladder and the vagina. Complex fistulae include those after failed repair attempts, radiotherapy, measuring ≥ 2 cm, located in the trigone, or with concomitant ureteric strictures or fistulae. We aimed to describe a technique for the robotic repair of a complex VVF using a vaginal cuff flap. Read More

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Complications After Vesicovaginal Fistula Repair Based on Surgeon Specialty in the United States: Analysis of a National Database.

Female Pelvic Med Reconstr Surg 2022 03;28(3):e120-e126

From the Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics, Gynecology and Reproductive Sciences.

Objectives: This study aimed to compare the rates of major and minor complications for vesicovaginal fistula (VVF) repair based on surgeon specialty and to identify risk factors for adverse outcomes.

Methods: This was a retrospective cohort analysis of the American College of Surgeons National Surgical Quality Improvement Program between the years 2014 and 2019. Cases were identified using Current Procedural Terminology codes for VVF repair. Read More

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Anatomical and functional outcomes of non-obstetric urogenital fistula repair.

Int Urogynecol J 2022 Mar 7. Epub 2022 Mar 7.

Urology Department, Moscow State University of Medicine and Dentistry, Vuchetich str. 21/2, Moscow, Russian Federation, 127206.

Introduction And Hypothesis: Studies on non-obstetric urogenital fistulas (NOUGFs) provide limited information on predictive outcome factors. This study was aimed at specifying and analyzing the risk factors for long-term anatomical and functional results.

Methods: A cross-sectional study of surgical repair for non-obstetric urogenital fistula was performed. Read More

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Hydrometrocolpos in Infants: Etiologies and Clinical Presentations.

Children (Basel) 2022 Feb 7;9(2). Epub 2022 Feb 7.

Division of Pediatric Gastroenterology, Department of Pediatrics, Chang Gung Children's Medical Center, Chang Gung Memorial Hospital, Taoyuan City 33305, Taiwan.

Hydrometrocolpos (HMC) is a rare condition where fluids or secretions accumulate in the vagina (hydrocolpos) or up to the uterus (hydrometrocolpos). This case series study reports three infants with different etiologies and presentations of HMC and aims to review literature for proper workup upon initial diagnosis. The first neonate antenatally presented with a huge cystic mass. Read More

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February 2022

Vesicovaginal fistula repair after a failed Lehoczky's island flap procedure.

Urol Ann 2022 Jan-Mar;14(1):102-104. Epub 2022 Jan 20.

Department of Urology, Semmelweis Hospital, Kiskunhalas, Hungary.

Vesicovaginal fistula (VVF) is the most common genitourinary fistula associated with significant, detrimental impact on the quality of life. Surgical repair of VVF may be complex requiring tissue interposition techniques to bring fresh blood supply, minimize recurrence, and improve functional outcomes. The international literature is scarce regarding complications related to interposition tissue. Read More

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January 2022

Pelvic organ prolapse and vaginal cancer: A systematic literature review.

Int J Gynaecol Obstet 2022 Feb 15. Epub 2022 Feb 15.

University of Milano-Bicocca, Monza, Italy.

Background: Primary vaginal cancer is a rare gynecologic malignancy. Few cases describing the concurrence of a vaginal tumor with advanced genital prolapse are reported in the literature and there is no consensus on optimal treatment.

Objectives: To investigate available evidence on presentation, treatment, and outcomes of these concurrent conditions. Read More

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February 2022

Epidemiology and care pathway of vesicovaginal fistulas managed in France between 2010 and 2018.

World J Urol 2022 Apr 20;40(4):1027-1033. Epub 2022 Jan 20.

Department of Urology and Kidney Transplantation, Assistance Publique-Hôpitaux de Marseille (APHM-HUM), La Conception University Hospital, 147 Boulevard Baille, 13005, Marseille, France.

Purpose: To evaluate the incidence of vesicovaginal fistula (VVF) in France.

Methods: We conducted a retrospective analysis of prospectively and systematically collected data from January 2010 to December 2018 in the French Hospital Discharge Database. We used ICD-10 code "N820" to identify new VVF diagnoses. Read More

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Validation of an obstetric fistula screening questionnaire: a case-control study with clinical examination.

Reprod Health 2022 Jan 18;19(1):12. Epub 2022 Jan 18.

Rwanda Society of Obstetricians and Gynecologists, Kigali, Rwanda.

Background: Obstetric fistula (OF) is a significant cause of maternal morbidity in lower resource settings where women experience obstructed labor without timely access to skilled obstetric care. The true prevalence of OF is unknown; however, it is estimated to affect 2 to 3.5 million women globally. Read More

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January 2022

The Manchester operation - is it time for it to return to our surgical armamentarium in the twenty-first century?

J Obstet Gynaecol 2022 Jan 5:1-5. Epub 2022 Jan 5.

Department of Obstetrics and Gynaecology, Urogynecology and Pelvic Floor Unit, Lis Maternity Hospital, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

We conducted a study to assess the efficacy and outcome results of Manchester operation for women with symptomatic elongation of uterine cervix between 2010 and 2020. Forty-five women were enrolled. Mean age was 54. Read More

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January 2022

Vesico-Vaginal Fistula in Females in 2010-2020: a Systemic Review and Meta-analysis.

Reprod Sci 2022 Jan 3. Epub 2022 Jan 3.

Manila Central University Hospital, Manila, Philippines.

Introduction: In the Western world today, urogenital fistula, including vesicovaginal fistula (VVF), is rare. However, while it remains significant in developing parts of the world due to prolonged and obstructed labor, in this study, we systematically reviewed the existing literature, discussing VVF occurrence, its etiology, and outcomes.

Material And Methods: We used electronic databases to search relevant articles from 2010-2020. Read More

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January 2022

Dosimetric predictors of local control and complications in gynecologic transperineal implant patients: The medical college of wisconsin experience.

Brachytherapy 2022 Jan-Feb;21(1):94-109. Epub 2021 Dec 20.

Department of Radiation Oncology, Medical College of Wisconsin, Milwaukee, WI. Electronic address:

Purpose: Investigate the relationship between dosimetric parameters with local control (LC) and complications following transperineal high-dose rate (HDR) interstitial brachytherapy (ISBT) for gynecologic (GYN) malignancies.

Methods And Materials: Between 2001 and 2016, 59 patients were treated for primary or recurrent GYN malignancies. Most patients received external beam irradiation, followed by transperineal ISBT via the Syed-Neblett applicator set with CT-based planning. Read More

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Post-coital vesicovaginal fistula with prior consensual intercourse and after normal vaginal delivery.

J Obstet Gynaecol 2021 Dec 13:1-2. Epub 2021 Dec 13.

Department of Urology, Sardar Patel Medical College, Bikaner, Rajasthan, India.

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December 2021

Damage-Control Surgery for Maternal Near-Miss Cases of Placenta Previa and Placenta Accreta Spectrum.

Int J Womens Health 2021 26;13:1161-1165. Epub 2021 Nov 26.

Department of Obstetrics and Gynecology, King Abdulaziz University, Jeddah, Saudi Arabia.

Purpose: There is paucity of reports on damage control surgery use in near-miss cases associated with placenta previa, and placenta accreta spectrum. The objective is to report the outcome of damage control surgery for the obstetrical hemorrhage in near-miss cases of placenta previa and placenta accreta spectrum.

Materials And Methods: The records of all women who had damage control surgery defined as abdominopelvic packing, followed by a period of medical stabilization in the intensive care unit for near-miss placenta previa and placenta accreta spectrum at King Abdulaziz University Hospital, Jeddah, Saudi Arabia, between November 1, 2007, and March 1, 2020, were identified and reviewed. Read More

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November 2021

Suprapubic Transvesical Repair of Vesicovaginal Fistula Using a Homemade Laparoscopic Single-Port Device: Experience of 42 Patients.

Front Surg 2021 3;8:744226. Epub 2021 Nov 3.

Department of Urology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.

Vesicovaginal fistula (VVF) is the most common urogenital acquired fistula, and has remained a scourge and of public health importance. VVF can be repaired by transvaginal approach, transabdominal approach or transvesical approach, but the optimal management is still debated. To demonstrate a suprapubic transvesical approach to repair VVFs using a homemade laparoscopic single-port device. Read More

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November 2021

Same problem, different approaches: transvesical and extravesical laparoscopic vesicovaginal fistula repair-case report.

Transl Androl Urol 2021 Oct;10(10):3885-3890

Department of Urology, Complejo Hospitalario Universitario de Canarias, San Cristóbal de La Laguna, Spain.

Vesicovaginal fistulas (VVaFs) are relatively uncommon in developed countries but with devastating consequences for the women suffering them. Conservative management has a low response rate. The surgical repair is a technically demanding procedure. Read More

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October 2021

Placenta Percreta Complications.

Cureus 2021 Oct 17;13(10):e18842. Epub 2021 Oct 17.

Urology, University of Colorado, Aurora, USA.

Placenta percreta is the most severe form of placenta accreta and is characterized by placental invasion through the entirety of the myometrium and possibly into extrauterine tissues. It is associated with prior cesarean deliveries and placenta previa. Herein, we present the case of a patient who developed placenta percreta and experienced massive blood loss of 27 liters. Read More

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October 2021

A Comparison of Postoperative Surgical Outcomes among Women Undergoing Obstetric Fistula Repair with and without HIV.

Int J MCH AIDS 2021 30;10(2):191-197. Epub 2021 Oct 30.

Urology Institute, Division of Female Sexual Health, University Hospitals Cleveland Medical Center, USA.

Background And Objective: Obstetric fistula affects approximately 2 million women worldwide, predominantly in places with a high Human Immunodeficiency Virus (HIV) burden. In Malawi, where thousands of women live with fistulas, HIV prevalence is 11-13%. Although repair is usually successful, surgical outcomes among immunocompromised women are poorly understood. Read More

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October 2021