2,910 results match your criteria Vesicovaginal Fistula

Congenital vesicovaginal fistula - A rare cause of urinary incontinence in adulthood.

Eur J Obstet Gynecol Reprod Biol 2021 May 5. Epub 2021 May 5.

Department of Urology, Sri Sathya Sai Institute of Higher Medical Sciences, Prashantigram, Puttaparthi, Andhra Pradesh, 515134, India. Electronic address:

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Function and disability status among women with fistula using WHODAS2.0: A descriptive study from Rwanda and Democratic Republic of Congo.

Int J Gynaecol Obstet 2021 May 10. Epub 2021 May 10.

Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Objective: To assess function and disability among women in Rwanda and Democratic Republic of Congo living with fistula and identify characteristics associated with higher disability scores.

Methods: Women presenting for fistula care were recruited. Eligible participants underwent a physical examination to classify fistula type and completed WHODAS 2. Read More

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The Emerging Role on the Use of Platelet-Rich Plasma Products in the Management of Urogynaecological Disorders.

Surg Innov 2021 Apr 28:15533506211014848. Epub 2021 Apr 28.

1st Department of Obstetrics & Gynecology, Medical School, 68989National and Kapodistrian University of Athens, "Alexandra" Hospital, Athens, Greece.

: The regenerative efficacy of platelet-derived products has been recently investigated in the treatment of pelvic floor disorders (PFDs). We aimed to synthesize the current evidence of platelet-rich plasma (PRP) products used in urogynaecological disorders including vaginal atrophy, pelvic organ prolapse (POP), urinary incontinence, vaginal fistulas and vaginal mesh exposure. : A meticulous search of the currently available literature on the use of PRP for the management of PFDs was performed using 3 electronic databases. Read More

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Vesicovaginal fistula repair at the time of colpocleisis.

Int Urogynecol J 2021 Apr 28. Epub 2021 Apr 28.

Female Pelvic Medicine & Reconstructive Surgery, University of South Florida, Tampa, FL, USA.

Introduction And Hypothesis: The objectives of this video are to discuss the presentation, evaluation, and surgical management of a patient with a vesicovaginal fistula at the time of colpocleisis.

Method: We present the case of an 83-year-old woman with a history of stage IV prolapse who had had a pessary device removed. Urine had been noted to be in the vaginal vault, leading to suspicion of a vesicovaginal fistula. Read More

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#SayHerName: Should Obstetrics and Gynecology Reckon with the Legacy of JM Sims?

Monica Christmas

Reprod Sci 2021 Apr 20. Epub 2021 Apr 20.

Department of Obstetrics and Gynecology, The University of Chicago, 5841 S. Maryland Avenue MC2050, Chicago, IL, 60637-1470, USA.

Dr. James Marion Sims has been heralded as the "father of modern gynecology" for his groundbreaking surgical technique to repair post-partum vesicovaginal fistulas (VVF); however, the ethical concerns around his inhumane practices and the contributions of the enslaved women he refined his technique on are rarely recognized. Acknowledging the personal sacrifice of the enslaved women and addressing the truth behind the immoral practices of Sims, encourages reconciliation of the race-based medical atrocities of the past and sets the tone for moral, more equitable medical care moving forward. Read More

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[Morphological analysis of the structure of parafistulous tissues in patients with vesicovaginal fistulas by the local interstitial application of platelet-rich plasma].

Urologiia 2021 Mar(1):21-26

Kuban State Medical University, Krasnodar, Russia.

The issue of complications of fistuloplasty of vesicovaginal fistulas (VVF) remains extremely relevant both for modern surgeons and for patients. Optimization of morphological characteristics by local interstitial application of Platelet-Rich Plasma (PRP) can positively affect the results of surgical treatment of VVF.

Purpose Of The Study: to conduct a comparative assessment of the morphological parameters of parafistulous tissues before and after local interstitial application of PRP. Read More

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[Diagnostic nomograms for the treatment of urogenital fistula].

Urologiia 2021 Mar(1):13-20

Department of Urology of A. I. Evdokimov Moscow State University of Medicine and Dentistry.

Aim: Studies on non-obstetric urogenital fistula provide limited information on predictive factors. The aim of our study was to specify and to analyze the predictors for long-term anatomical and functional results in women with non-obstetric urogenital fistula.

Materials And Methods: A cross-section study of surgical repair for non-obstetric urogenital fistula repairs was carried out. Read More

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Obstetric fistula scoring tool for surgical trainees.

Int J Gynaecol Obstet 2021 Apr 3. Epub 2021 Apr 3.

Brown University, Department of Epidemiology Providence, RI, USA.

Objective: This study examines the ability of a previously published risk score to predict incontinence at discharge in women with vesicovaginal fistulas (VVF) and to examine how the score correlates with an independent assessment of surgical skill.

Methods: This is a retrospective cohort study including cases from January to June 2018. We evaluated operative records for factors associated with incontinence at hospital discharge, as well as relationships between a risk score cut-point of ≥ 20, surgical skill level. Read More

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Impact of Covid-19 pandemic on obstetric fistula repair program in Zimbabwe.

PLoS One 2021 1;16(4):e0249398. Epub 2021 Apr 1.

Department of Health Sciences, College of Health, Agriculture and Natural Sciences, Africa University, Mutare, Zimbabwe.

The advent of Covid-19 pandemic adversely affected many programs worldwide, public health, including programming for obstetric fistula were not spared. Obstetric fistula is an abnormal connection between the vagina and the bladder or the rectum resulting from obstetric causes, mainly prolonged obstructed labour. Zimbabwe has two obstetric fistula repair centers. Read More

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A Multi-institutional Experience with Robotic Vesicovaginal and Ureterovaginal Fistula Repair After Iatrogenic Injury.

J Endourol 2021 Mar 31. Epub 2021 Mar 31.

Lewis Katz School of Medicine at Temple University, 12314, Urology, Philadelphia, Pennsylvania, United States;

Objectives: To describe our multi-institutional experience with robotic repair of iatrogenic urogynecologic fistulae (UGF), including vesicovaginal fistulae (VVF) and ureterovaginal fistulae (UVF).

Methods: We performed a retrospective review identifying patients who underwent robotic repair of vesicovaginal and ureterovaginal fistulae between January 2010 and May 2019. All patients failed conservative management with foley catheter or upper tract drainage (ureteral stent and/or nephrostomy tube), respectively. Read More

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Comparison of oncological outcomes and major complications between laparoscopic radical hysterectomy and abdominal radical hysterectomy for stage IB1 cervical cancer with a tumour size less than 2 cm.

Eur J Surg Oncol 2021 Mar 22. Epub 2021 Mar 22.

Department of Obstetrics and Gynecology, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China; Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, 100730, China. Electronic address:

Objective: To compare the oncological outcomes and major complications of laparoscopic radical hysterectomy (LRH) and abdominal radical hysterectomy (ARH) for stage IB1 cervical cancer (FIGO 2009) with a tumour size less than 2 cm.

Methods: We retrospectively compared the oncological outcomes and major complications of 1207 stage IB1 cervical cancer patients with a tumour size less than 2 cm who received LRH (n = 546) or ARH (n = 661) in 37 hospitals.

Results: (1) There was no significant difference in 3-year overall survival (OS; 97. Read More

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Interposing layer of fibrin glue: A new horizon in vesico-vaginal fistula repair.

Urologia 2021 Mar 26:3915603211004748. Epub 2021 Mar 26.

Department of Urology, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India.

Aim: In this study our idea is to compare the effectiveness of using interposing layer of fibrin glue to omental flap in reducing the failure of laparoscopic vesicovaginal fistula repair.

Methods: Forty patients with fairly large vesicovaginal fistula were enrolled and divided in two groups of 20 each. We have used fibrin glue in one group and omental flap in the other group. Read More

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Effect of Paula exercise method on functional outcomes of women with post fistula repair incontinence: a protocol for randomized controlled trial.

BMC Womens Health 2021 Mar 9;21(1):101. Epub 2021 Mar 9.

Department of Physiotherapy, Faculty of Allied Health Sciences, College of Health Sciences, Bayero University, Kano, Nigeria.

Background: Post-fistula-repair incontinence (PFRI) is a common complication of vesicovaginal fistula (VVF) surgeries. It entails continuous leakage of urine after successful VVF closure. Pelvic Floor Muscle Training (PFMT) plays a vital role in the management of PFRI, however, an evolving exercise approach is the Paula Exercise Method (PEM) which has shown a promising effect in stopping urinary incontinence, but there is no data on its effect on PFRI. Read More

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Indocyanine green use in Urology.

J BUON 2021 Jan-Feb;26(1):266-274

"Iuliu Hatieganu" University of Medicine and Pharmacy, Department of Urology, Cluj-Napoca, Romania.

Purpose: Indocyanine green (ICG) is being used more and more in Urology along with advances in minimal invasive surgery, guiding excision and reconstruction, highlighting anatomic structures and functional features with oncologic guidance still being debatable. The purpose of this paper was to explore ICG use in urologic procedures.

Methods: We present our experience (37 cases) of using ICG fluorescence guidance in urologic operations performed using 3D laparoscopy and FireFly® fluorescence imaging mode of Da Vinci X robot. Read More

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The role of perioperative ureteral stenting for urologic complications in radical surgery of cervical cancer.

Urologia 2021 Mar 14:3915603211001178. Epub 2021 Mar 14.

Medical University, Sofia, Bulgaria.

Introduction: This study aimed to establish the urologic complications of radical type C2 hysterectomy in cervical cancer patients with or without ureteral stenting.

Methods: This prospective randomized study included 76 (100%) patients with clinically and pathologically established cervical cancer stages I and II treated with radical type C2 hysterectomy with pelvic lymph node dissection for the last 5 years (2014-2019). Patients were randomized into two groups (2:1 ratio): group II received perioperative ureteral stenting ( = 24, 31. Read More

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Vesico-vaginal fistula presenting as overactive bladder in a case of Gellhorn pessary for vault prolapse.

BMJ Case Rep 2021 Mar 3;14(3). Epub 2021 Mar 3.

Department of Obstetrics and Gynaecology, University Hospital Crosshouse, NHS Ayrshire and Arran, Kilmarnock, South Ayrshire, UK.

An 81-year-old woman with early dementia was on a regular follow-up for change of Gellhorn pessary every 6 months for vault prolapse. She presented with frequency and urgency for 10 months duration 5 years into conservative management. Her symptoms did not improve on anticholinergics and lifestyle modifications. Read More

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Evaluation and management of obstetric genital fistulas treated at a pelvic floor centre in Germany.

BMC Womens Health 2021 Feb 5;21(1):52. Epub 2021 Feb 5.

Department of Obstetrics and Gynaecology, University Hospital Tübingen, Calwerstrasse 7, 72076, Tübingen, Germany.

Background: Obstetric genital fistulas are an uncommon condition in developed countries. We evaluated their causes and management in women treated at a German pelvic floor centre.

Methods: Women who had undergone surgery for obstetric genital fistulas between January 2006 and June 2020 were identified, and their records were reviewed retrospectively. Read More

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February 2021

Delayed presentation of postcaesarean section vesicouterine fistula repaired robotically.

BMJ Case Rep 2021 Jan 27;14(1). Epub 2021 Jan 27.

Department of Urology, East Kent Hospitals University NHS Foundation Trust, Canterbury, UK.

A premenopausal patient in her late forties presented with a 15-year history of urinary incontinence starting shortly after a caesarean section performed for her fourth delivery and more recently associated episodic light haematuria and passage of clots per vagina. The haematuria was intermittent over several months and associated with per-vaginal bleeding. She had symptomatic anaemia. Read More

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January 2021

Delayed urinary bladder perforation in a hostile post-radiation pelvis.

Acta Chir Belg 2021 Apr 8;121(2):152-153. Epub 2021 Feb 8.

Section of Colorectal Surgery, Department of Surgery, Westchester Medical Center, New York Medical College, Valhalla, NY, USA.

The radiation-induced injury to normal tissue is a well-described phenomenon that incites tissue hypoxia, vascular damage, and parenchymal cell death. In addition to the morbidity caused by the radiation-induced injury itself, surgical management adds to the overall morbidity in these patients. We herein present a case demonstrating challenges of surgical management of urological complications in a radiated pelvis including delayed bladder perforation, recurrence of vesicovaginal fistula, and ureteral stricture. Read More

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Impact of vesicovaginal fistula repair on urinary and sexual function: patient-reported outcomes over long-term follow-up.

Int Urogynecol J 2021 Jan 9. Epub 2021 Jan 9.

Department of Urology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India.

Introduction And Hypothesis: While the anatomical closure rates of vesicovaginal fistula (VVF) following transabdominal (TA) and transvaginal (TV) repairs seem comparable, studies comparing urinary and sexual outcomes following successful repair are lacking. We aimed to report patient-reported outcomes on sexual and urinary functions after long-term follow-up with successful repair.

Methods: We retrospectively reviewed 81 women who had successful VVF repair at our institute. Read More

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January 2021

[Systematic review of current russian-language literature on urogenital fistulas in women].

Urologiia 2020 12(6):137-141

AO European Medical Center, Moscow, Russia.

Urogenital fistulas in women are an urgent problem in modern urology, gynecology and surgery. Several decades earlier, iatrogenic damage was the main reason for their development. The aim of this review was to analyze the etiology, characteristics and results of treatment of fistulas in women in Russia and the CIS countries. Read More

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December 2020

Burden and management of obstetric fistula in South-East Asian region countries: A systematic review and meta-analysis.

Indian J Public Health 2020 Oct-Dec;64(4):386-392

WHO Respresentative to Maldives, World Health Organization, Male, Maldives.

Background: Each year, between 50,000 and 100,000 women worldwide develop obstetric fistulae. Approximately 2 million girls across Asia and Africa are estimated to be affected by this condition. However, there is no reliable data on its prevalence in South-East Asia region (SEAR). Read More

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December 2020

Predictive value of classification systems and single fistula-related factors in surgical management of vesicovaginal fistula.

Neurourol Urodyn 2021 01 11;40(1):529-537. Epub 2020 Dec 11.

2nd Department of Gynecology, Medical University of Lublin, Lublin, Poland.

Aims: The aim of this study was to find the most clinically useful vesicovaginal fistula (VVF) classification system or single fistula-related factor, which would be helpful in determining the most proper management leading to successful treatment.

Methods: Between 2018 and 2020, 30 patients were diagnosed with VVF and underwent the Latzko procedure. Nineteen patients, after previously failed surgery, were injected with platelet-rich-plasma (PRP) before a final attempt to close VVF. Read More

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January 2021

Anarcha, Betsey, Lucy, and the women whose names were not recorded: The legacy of J Marion Sims.

Monica Cronin

Anaesth Intensive Care 2020 Nov 29;48(3_suppl):6-13. Epub 2020 Nov 29.

Geoffrey Kaye Museum of Anaesthetic History, Australian and New Zealand College of Anaesthetists, Melbourne, Australia.

In April 2018, a statue commemorating J Marion Sims was removed from Central Park, New York, and relocated to Green-Wood Cemetery in Brooklyn, where he is buried. In 1849, Sims developed a repeatable surgical solution for obstetric fistula, a debilitating condition caused by prolonged, obstructed labour, which damages the vaginal wall, resulting in permanent leakage via the vagina from either the bowel or bladder and sometimes both. Initially, Sims appears worthy of widespread adulation. Read More

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November 2020

Obstetric vesico-vaginal fistulas: Midvaginal and juxtacervical fistula repair outcomes in the Democratic Republic of Congo.

Int J Gynaecol Obstet 2021 May 12;153(2):294-299. Epub 2021 Jan 12.

Department of Obstetrics and Gynecology, Panzi General Referral Hospital, Université Evangelique en Afrique (UEA), Bukavu, The Democratic Republic of Congo.

Objective: This study aims to establish the postoperative success rates of midvaginal versus juxtacervical obstetric vesicovaginal fistula (VVF) repairs. In addition, we aim to quantify the impact of patient sociodemographic variables, fistula classification, and surgical repair techniques associated with postoperative outcomes.

Methods: A retrospective cohort study was conducted involving 420 women who had undergone a primary obstetric VVF repair. Read More

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Large primary vaginal stone in a woman with multiple sclerosis.

BMJ Case Rep 2020 Oct 30;13(10). Epub 2020 Oct 30.

Department of Obstetrics and Gynaecology, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands.

Vaginal stones are rare and therefore a delay in accurate diagnosis often occurs. We present a 54-year old woman with multiple sclerosis who was diagnosed with a primary vaginal stone. Initially, she presented with recurring urinary tract infections (UTI) and macroscopic haematuria to the urologist. Read More

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October 2020

Primary Bladder Neck Obstruction in a Young Woman: A Novel Technique of Bladder Neck Incision Using Holmium Laser.

J Endourol Case Rep 2020 17;6(3):153-155. Epub 2020 Sep 17.

Department of Urology, Uro-Oncology, Robotics and Renal Transplant, Max Group of Hospitals, Delhi, India.

Management of primary bladder neck obstruction (PBNO) in women is difficult. Surgical treatment in the form of bladder neck incision (BNI) is indicated in many cases. There is no defined consensus on the best surgical technique of BNI in women. Read More

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September 2020