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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

Acta Med Hist Adriat 2018 Dec;16(2):293-302

Sezione di Storia della Medicina e di Etica, Dipartimento di Scienze della Salute (DISSAL), Università di Genova, Via A. Pastore 1, 16132 Genova, Italia.

Enrico Bottini (Stradella, Pavia, 7 September 1835 - Porto Maurizio, Sanremo, 11 March 1903) was a multifaceted surgeon, who left a strong mark in modern surgery, not only Italian but worldwide. A pupil of Porta and Ribeti, as well as the distinguished French surgeon and anatomist Charles-Marie-Édouard Chassaignac, he has dedicated himself throughout his career to various areas of medicine, ranging from bacteriology and anti-sepsis (use of a derivative of phenic acid) to urological surgery (the so-called "endo-urethral galva-cauterization", also called Bottini's operation, or Perineal incision according to Bottini). He has also successfully dedicated himself to gynecology (trans-vaginal hysterectomy for uterine cancer and surgical treatment of vesicovaginal fistulas), maxillofacial surgery (endo-oral resection of the maxilla, subperiosteal resection of the mandible for the treatment of the stable jaw, total amputation of the larynx and the tongue for carcinomas), the dermosurgery (use of the electrocautery), and the vascular surgery (resection of the inferior vena cava). Read More

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

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

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

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

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 ago.

Design: Prospective cohort study.

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

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

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

Colorectal Dis 2018 Nov 17. Epub 2018 Nov 17.

Department of Surgery, Kaohsiung Veteran General Hospital.

Bevacizumab is a humanized monoclonal antibody targeting vascular endothelial growth factor (VEGF). Adding bevacizumab to a variety of first-line regimens used for metastatic colon cancer improves outcomes. Vesicovaginal fistula (VVF) is an extremely rare complication of bevacizumab, which has been reported in a few patients with metastatic cervical cancer. Read More

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

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

Trop Med Int Health 2018 Oct 29. Epub 2018 Oct 29.

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

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

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

Eur J Contracept Reprod Health Care 2018 Oct 16:1-3. 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

Neurourol Urodyn 2018 Oct 12. 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

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

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

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

Eur Urol 2018 Aug 20. Epub 2018 Aug 20.

Department of Urology, University of Brest, Brest, France.

Background: Widespread adoption of the AMS-800 artificial urinary sphincter (AUS) in female patients has been hampered by the surgical morbidity of its implantation through an open approach.

Objective: To describe a standardized technique of robotic bladder neck AUS implantation in female patients, and to report the perioperative and functional outcomes obtained by multiple surgeons with this technique.

Design, Settings, And Participants: We retrospectively reviewed the charts of all female patients who underwent robotic AUS implantation for urinary incontinence due to intrinsic sphincter deficiency between March 2012 and March 2017 in five institutions. Read More

Best Pract Res Clin Obstet Gynaecol 2018 Jun 27. 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

Int Urogynecol J 2018 Aug 1. 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

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

Actas Urol Esp 2018 Jul 28. Epub 2018 Jul 28.

Hospital Universitario Ramón y Cajal, IRYCIS, Universidad de Alcalá, Madrid, España.

Introduction: The artificial urinary sphincter (AUS) is not used extensively in the treatment of female urinary stress incontinence (USI) due to the poor reproducibility of the techniques used. We describe a new approach to laparascopic implantation, of which dissection of the vesicovaginal space is an essential step. This enables an approach under direct vision to the posterior surface of the bladder neck. Read More

Best Pract Res Clin Obstet Gynaecol 2018 Jun 28. 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

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

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

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

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

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

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

Urol Case Rep 2018 Sep 22;20:48-50. Epub 2018 Jun 22.

Department of Imaging and Interventional Radiology, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China.

J Endourol Case Rep 2018 1;4(1):94-96. Epub 2018 Jun 1.

Department of Urology, Faculty of Medicine, Abant Izzetbaysal University, Bolu, Turkey.

Vesicovaginal fistula (VVF) is a problem that physically and psychologically debilitates the patient. Options for treatment of VVF include transabdominal, transvaginal, transvesical, laparoscopic, and robotic repair or minimally invasive methods such as fulguration. We describe a novel minimally invasive technique: transvesicoscopic bipolar sealing of the vesicovaginal fistula (TBSF). Read More

BMC Womens Health 2018 Jun 20;18(1):106. Epub 2018 Jun 20.

Department of Health Service Management and Health Economics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

Background: Women with fistula live in a state of distress and in fear of their future life. An obstetric fistula has a devastating impact on affected women and their families. The objective of this systematic review was to synthesize the evidence from published articles on the consequences of obstetric fistula on women who endure the condition. Read More

Urology 2018 Sep 10;119:1-4. Epub 2018 Jun 10.

Department of Urology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Female Pelvic Med Reconstr Surg 2018 Jul/Aug;24(4):e23-e25

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

Fistulas are defined as abnormal connections between 2 organ, vessels, or structures. They can often present in the genitourinary tract as a result of iatrogenic injury during pelvic surgery. A 46-year-old female presents many years after a hysterectomy for persistent vaginal leakage with concern for a vesicovaginal fistula. Read More

Urology 2018 Sep 7;119:44-48. Epub 2018 Jun 7.

Department of Urology, University of Cagliari, Cagliari, Italy.

Objective: To verify the feasibility and effectiveness of the correction of vesicovaginal fistulae (VVF) through a laparoscopic transperitoneal extravesical approach and TachoSil application as interposition tissue. VVF are the most common fistulae of the urinary tract and even today there is no agreement over the preferred approach to treat this kind of pathologic condition.

Methods: We retrospectively analyzed the data of women who, from July 2010 to July 2017, underwent early laparoscopic transperitoneal extravesical VVF repair. Read More

Pan Afr Med J 2018 16;29:34. Epub 2018 Jan 16.

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

Obstetric fistulas are a major public health problem in poor countries. This study aimed to describe the epidemiological, clinical and therapeutic features of obstetric fistulas in northern Katanga province, Democratic Republic of the Congo. We conducted a descriptive cross-sectional study of 242 patients with obstetric fistula living in northern Katanga province from September 2009 to December 2013. Read More

Turk J Urol 2018 Sep 6;44(5):399-405. Epub 2018 Mar 6.

Urology and Kidney Transplant, Medanta The Medicity, Gurugram, Haryana, India.

Objective: We present the outcomes of modification of cutaneous ureterostomy by extreme lateralization of the stoma and use of skin flap for formation of ureterostomy.

Material And Methods: Between June 2012 and June 2016, 36 patients had modified cutaneous ureterostomy for ureteral obstruction due to pelvic malignancy or genitourinary tuberculosis. Transureteroureterostomy was made with cutaneous stoma at anterior axillary line between iliac crest and lower rib cage, instead of spinoumbilical line. Read More

J Gynecol Obstet Hum Reprod 2018 Nov 18;47(9):487-490. Epub 2018 May 18.

Shanghai Ninth People's Hospital, Shanghai Jiao Tong University, School of Medicine, Shanghai 200025, China. Electronic address:

We report a case series study on five patients who underwent combined transurethral and transvaginal approaches to repair their vesicovaginal fistulas. All of them had failed the previous surgical treatments for their fistulas. Combined transurethral and transvaginal approaches successfully repaired their vesicovaginal fistulas, with minimal intraoperative bleeding and rapid postoperative recoveries. Read More

Int Urogynecol J 2018 May 17. Epub 2018 May 17.

Katihar Medical College, Katihar, Bihar, India.

Introduction And Hypothesis: During vaginal hysterectomy, extraperitoneal uterosacral ligament suspension (ULS) bites can be taken before removing the uterus. We evaluated this modified extraperitoneal ULS for vault prolapse prevention.

Methods: Study period was 3. Read More

Mymensingh Med J 2018 Apr;27(2):223-228

Dr Fatema Tuz Zahura Aalpona, Medical Officer, Gynae OPD, Mymensingh Medical College Hospital (MMCH), Mymensingh, Bangladesh; E-mail:

The purpose of this observational cross-sectional study was to evaluate the histories of women with urinary incontinence caused by genitourinary fistulae in Bangladesh. This is an exploratory analysis to investigate possible contributing factors to the development of urogenital fistulae. Sixty four (64) women who were treated for urogenital fistulae at the National Fistula Center, Dhaka Medical College Hospital, Dhaka, Bangladesh were interviewed from July 2013 to December 2013. Read More

Int J Gynaecol Obstet 2018 Aug 22;142(2):187-193. Epub 2018 May 22.

International Center for Advanced Research and Training in Bukavu, Bukavu, Democratic Republic of Congo.

Objective: To derive a comprehensive system that allows a single score to define relative fistula severity.

Methods: The present observational study included women with urogenital fistula treated at the Panzi Hospital, Democratic Republic of Congo, or its outreach clinics across the Democratic Republic of Congo between September 1, 2013, and December 31, 2014. Fistula severity was assessed by Goh and Waaldijk classifications and surgical success was ascertained. Read More

Urology 2018 Jul 25;117:137-141. Epub 2018 Apr 25.

Robert D. Jeffs Division of Pediatric Urology, James Buchanan Brady Urological Institute, Johns Hopkins Hospital, Baltimore, MD. Electronic address:

Objective: To evaluate human acellular dermis (HAD) as an adjunct during bladder neck transection (BNT) by comparing surgical outcomes with other types of tissue interposition.

Methods: A prospectively maintained institutional database of exstrophy-epispadias complex (EEC) patients was reviewed for those who underwent a BNT with at least 6 months follow-up. The primary outcome was the occurrence of BNT-related fistulas. Read More

Int J Gynaecol Obstet 2018 Jun 10;141(3):280-283. Epub 2018 Apr 10.

Department of Obstetrics and Gynecology, James Cook University, Townsville, Qld, Australia.

Obstetric fistula is a devastating childbirth injury caused by unrelieved obstructed labor. Obstetric fistula leads to chronic incontinence and, in most cases, significant physical and emotional suffering. The condition continues to blight the lives of 1-2 million women in low-resource settings, with 50 000-100 000 new cases each year adding to the backlog. Read More

Saudi Med J 2018 Apr;39(4):373-378

Department of Urogynecology and Pelvic Reconstructive Surgery, Women's Specialized Hospital, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia. E-mail.

Objectives: To reviewe the etiology and management of urogenital fistulas at a tertiary care referral center.

Methods: We retrospectively identified all patients with urogenital fistula referred to the King Fahad Medical City, Riyadh, Saudi Arabia, between January 2005 and July 2016 from electronic records. We collected data on age, parity, etiology and type of fistula, radiologic findings, management, and outcome. Read More

Int Urogynecol J 2018 07 2;29(7):929-932. Epub 2018 Apr 2.

Department of Obstetrics and Gynecology, New York Medical College, Valhalla, NY, USA.

Medicine (Baltimore) 2018 Mar;97(13):e0173

Department of Urology, The First Hospital of Jilin University, Changchun, P.R. China.

Radiotherapy is a reliable method to cure cervical cancer patients, but it could cause serious urological complications after the treatment due to the anatomical location of the cervix. The main purpose of this retrospective analysis is to study the incidence, latency, and therapeutic efficacy of urological complications caused by radical hysterectomy with postoperative radiotherapy or radiotherapy alone in patients with cervical cancer.A retrospective analysis was conducted on patients with cervical cancer who received radical hysterectomy with postoperative radiotherapy or radiotherapy alone at the First Hospital of Jilin University between January 2010 and May 2016. Read More

Urol Case Rep 2018 Mar 31;17:106-108. Epub 2018 Jan 31.

Division of Urology, John H. Stroger, Jr. Hospital of Cook County, Chicago, IL, USA.

J Obstet Gynaecol 2018 Aug 9;38(6):822-827. Epub 2018 Mar 9.

a Swindon Academy , University of Bristol, Great Western Hospitals NHS Foundation Trust , Swindon , UK.

Kitovu Hospital in Masaka, Uganda, is a leading obstetric fistula repair centre in the country with the highest rates of fistula in the world. In this retrospective case review, the regional incidence and causative factors were studied in patients with vesicovaginal fistula (VVF) who were admitted at Kitovu Hospital. Fistula history included severity (ICIQ score), causes and outcomes of VVF were measured. Read More

Oncotarget 2018 Feb 18;9(10):9299-9310. Epub 2018 Jan 18.

Department of Radiotherapy, Gustave Roussy Cancer Campus, Villejuif, France.

Objective: We report outcomes of cervical cancer patients with bladder invasion (CCBI) at diagnosis, with focus on the incidence and predictive factors of vesicovaginal fistula (VVF).

Results: Seventy-one patients were identified. Twenty-one (30%) had para-aortic nodal involvement. Read More

Aktuelle Urol 2018 Feb 27;49(1):e91. Epub 2018 Feb 27.

Klinik für Urologie, Universitätsklinikum Hamburg-Eppendorf, Hamburg.