Search Our Scientific Publications & Authors

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

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

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

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

Arab J Urol 2019 Mar 4;17(1):61-68. Epub 2019 Apr 4.

Department of Urology, Assiut University Urology Hospital, Assiut University, Assiut, Egypt.

: To conduct a systematic review of the literature on vesicovaginal fistula (VVF), including reporting on the aetiology, in both developed and underdeveloped countries; diagnosis; intraoperative prevention; and management. : We conducted a systematic review of the literature on VVF through the PubMed and the Cochrane Library according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. The search was conducted from 1985 to 2018 in English, using the keywords 'fistula' and 'vesicovaginal fistula'. Read More

Int Urogynecol J 2019 Jun 29. Epub 2019 Jun 29.

Section of Female Urology and Laparoscopy, Urology Department, Alexandria University, Alexandria, Egypt.

Introduction And Hypothesis: Laparoscopic repair of different female genitourinary fistulae has been recently reported, including both conventional and laparoendoscopic single-site surgery (LESS). We present our 10-year single-center experience of the laparoscopic repair of different types of female genitourinary fistulae.

Methods: A retrospective analysis of our records over the last 10 years was performed. Read More

Int J Urol 2019 07 17;26(7):717-723. Epub 2019 Jun 17.

Department of Urology, University College London Hospital, London, UK.

Objectives: To report a large series of vesicovaginal fistula, and to assess the incidence of ureteric injury in association with vesicovaginal fistula.

Methods: We retrospectively reviewed a prospective database of patients with vesicovaginal fistula referred to our center between 2004 and 2016. Data on patient demographics, fistula etiology, mode of repair, and any associated ureteric injury and its treatment were noted. Read More

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

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

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

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

Northwestern University, Chicago, IL.

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

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

Am J Obstet Gynecol 2019 04 24;220(4):369.e1-369.e7. Epub 2019 Jan 24.

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

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

Turk J Urol 2019 05 26;45(3):212-217. 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

Med Clin North Am 2018 Mar 20;102(2):313-324. Epub 2017 Dec 20.

Department of Urology, Northwestern University Feinberg School of Medicine, 303 East Chicago Avenue, Tarry 16-703, Chicago, IL 60611, USA. Electronic address:

Female voiding dysfunction and incontinence are common in the general population and symptoms have been shown to have a significant negative impact on health-related quality of life. This article highlights the epidemiology, evaluation, diagnosis, pharmacologic therapies, and surgical treatment for overactive bladder, stress urinary incontinence, and urogenital fistulas. Read More

Aktuelle Urol 2018 02 1;49(1):83-91. Epub 2018 Feb 1.

Klinik für Urologie, Universitätsklinikum Hamburg-Eppendorf, Hamburg.

Background: Vesico- and ureterovaginal fistulas are defined as abnormal connections between the urinary tract, on the one side, and the female genital system, on the other. Despite being highly prevalent as an acquired pathology of the urogenital system, there has as yet been no standardized protocol in place for diagnosing and treating these fistulas. This review analyses the current literature concerning vesico- and ureterovaginal fistulas in order to profile common diagnostic and therapeutic concepts. Read More

Int Urogynecol J 2018 09 11;29(9):1303-1309. Epub 2017 Oct 11.

, Mwanza, Tanzania.

Introduction: Ureteric injuries are among the most serious complications of pelvic surgery. The incidence in low-resource settings is not well documented.

Methods: This retrospective review analyzes a cohort of 365 ureteric injuries with ureterovaginal fistulas in 353 women following obstetric and gynecologic operations in 11 countries in Africa and Asia, all low-resource settings. Read More

Int J Gynaecol Obstet 2017 Sep 28;138(3):293-298. Epub 2017 Jun 28.

Evangel Vesicovaginal Fistula Center, Bingham University Teaching Hospital, Jos, Nigeria.

Objective: To compare outcomes following surgical repair of genital fistula among Nigerian women with or without HIV.

Methods: A retrospective review was conducted of all genital fistula repair surgeries performed at Evangel Vesicovaginal Fistula Center in Jos, Nigeria, between January 1, 2004, and April 30, 2014. Patient characteristics, HIV status, genital fistula characteristics, and postoperative outcomes were assessed for between-group variance. Read More

J Minim Invasive Gynecol 2018 01 3;25(1):17-18. Epub 2017 May 3.

Department of Urology, Laparoscopy Research Center, Center of Excellence for e-Learning, Shiraz University of Medical Sciences, Shiraz, Iran; Division of Urologic Surgery, Department of Surgery, Duke University Medical Center, Durham, North Carolina. Electronic address:

Study Objective: To demonstrate a laparoscopic approach for repair of concomitant vesicovaginal and ureterovaginal fistulas as a troublesome complication of transabdominal hysterectomy (TAH).

Design: Video presentation with narration demonstrating a laparoscopic approach for repair of a vesicovaginal fistula and ureter reimplantation using a bladder (Boari) flap (Canadian Task Force Classification III).

Setting: Mothers and Children Hospital, Shiraz University of Medical Sciences. Read More

Am J Obstet Gynecol 2017 05 9;216(5):502.e1-502.e11. Epub 2017 Jan 9.

Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI.

Background: Healthcare teams that frequently follow a bundle of evidence-based processes provide care with lower rates of morbidity. Few process bundles to improve surgical outcomes in hysterectomy have been identified.

Objective: The purpose of this study was to investigate whether a bundle of 4 perioperative care processes is associated with fewer postoperative complications and readmissions for hysterectomies in the Michigan Surgical Quality Collaborative. Read More

Bull Soc Pathol Exot 2016 Dec 14;109(5):329-333. Epub 2016 Jun 14.

CHU Sylvanus-Olympio, BP 57, Lomé, Togo.

The purpose of this study is to describe a simple, non-expensive, accessible and effective technique of ureterovaginal fistula diagnosis, and to assess the results of surgical management in a resource-constrained hospital. During a campaign of obstetric fistulas repair, we diagnosed ureterovaginal fistulas by vaginal exam with the blue methylene test associated to abdominal ultrasonography, two simple and non-expensive explorations which permitted to identify ureterovaginal fistula and to do differential diagnosis with vesicovaginal fistula. The management was surgery, by ureterovesical reimplantation. Read More

J Obstet Gynaecol India 2016 Jun 31;66(3):180-4. Epub 2015 Jan 31.

Department of Urology, IPGMER and SSKM Hospital, Kolkata, 700 020 India.

Background: In developing countries, obstetric trauma is the most common cause of genitourinary fistulae. But over the last two decades, health care facilities have been improved and the scenario has been changed.

Purpose: The aim of the present study is to share our experience with genitourinary fistula in terms of mode of presentation, diagnostic modality, and management with the emphasis on the surgical approach and a parallel review of the available literature. Read More

Urol Ann 2016 Jan-Mar;8(1):26-30

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

Introduction: Urinary tract injuries are a known complication of obstetrical and gynecological surgeries because of their anatomical proximity. Delayed diagnosis and improper management leads to high morbidity and even mortality. This is our three year's experience of urological complications after obstetric and gynecological surgery, their treatment and follows up. Read More

Int Urogynecol J 2016 Jun 7;27(6):831-7. Epub 2016 Jan 7.

Newcastle University, Newcastle upon Tyne, UK.

It has long been held as conventional wisdom that urogenital fistulae in low-income and middle-income countries are almost exclusively of obstetric aetiology, related to prolonged neglected obstructed labour, whereas those seen in high-income countries are largely iatrogenic in nature. There is, however, a growing perception amongst those working in the field that an increasing proportion of urogenital fistulae in low-income and middle-income countries may be iatrogenic, resulting from caesarean section. Recent studies suggest that adverse patterns of care may also be emerging in high-income countries; an increase in the risk of both vesicovaginal and ureterovaginal fistulae following hysterectomy has been reported, concurrently with the reduction in overall use of the procedure. Read More

Arab J Urol 2014 Jun 15;12(2):97-105. Epub 2014 Mar 15.

Hurley Medical Center, Michigan State University, Flint, MI, USA.

Background: A vesicovaginal fistula (VVF) is an abnormal fistulous tract between the bladder and vagina, causing continuous loss of urine via the vagina. VVF is a relatively uncommon condition, but there is a drastically higher prevalence in the developing world. Furthermore, iatrogenic postoperative VVF is most common in developed countries, compared to mainly obstetric trauma in developing countries. Read More

Urologe A 2015 Mar;54(3):349-58

Urologische Klinik und Poliklinik, Universitätsmedizin der Johannes-Gutenberg-Universität Mainz, Langenbeckstraße 1, 55131, Mainz, Deutschland,

Background: Vesicovaginal fistulae are much more common in developing countries along the equatorial fistula belt than in industrialized countries. However, although the classical obstetric fistula caused by lack of medical support through pregnancy and delivery in adolescent primiparae has almost vanished in Germany, we are now facing new and predominantly iatrogenic variants. Increasing frequency of gynecological surgery as well as pelvic radiation, forgotten vaginal foreign bodies, or uninhibited cancer growth are the modern causes for vesicovaginal fistula in elderly patients. Read More

J Minim Access Surg 2014 Oct;10(4):180-4

Department of Urology and Renal Transplantation, IKDRC-ITS, Asarwa, Ahmedabad, Gujarat, India.

Context: Sparse literature exists on laparoscopic repair of urogenital fistulae (UGF).

Aims: The purpose of the following study is to report our experience of laparoscopic UGF repair with emphasis on important steps for a successful laparoscopic repair.

Settings And Design: Data of patients who underwent laparoscopic repair of UGF from 2003 to 2012 was retrospectively reviewed. Read More

J Minim Invasive Gynecol 2015 Jan 6;22(1):134-6. Epub 2014 Jun 6.

Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, The Christ Hospital, Cincinnati, Ohio.

Fallopian tube vaginal fistula, a form of peritoneovaginal fistula, is an uncommon cause of persistent vaginal leakage after hysterectomy. Fallopian tube vaginal fistula resulting in peritoneal leakage has been reported in conjunction with a prolapsed fimbria. Herein is presented a case of fallopian tube vaginal fistula without a visibly prolapsed tubal fimbria. Read More

Ginekol Pol 2014 Apr;85(4):272-7

Objectives: To present a one-center clinical experience of using the transvesical laparoendoscopic single-site surgery (T-LESS) to repair selected urinary tract injuries after vaginal or pelvic surgery.

Material And Methods: From November 2009 to August 2013, 22 women underwent the treatment with the use of the T-LESS technique to repair various complications after gynecologic or uro-gynecologic surgery. Thirteen patients were operated on for iatrogenic foreign bodies, 8 patients underwent a vesicovaginal fistula repair and 1 woman a ureteral reimplantation due to ureterovaginal fistula. Read More

BJU Int 2015 Mar 23;115(3):430-6. Epub 2014 Oct 23.

Department of Urology, Indiana University, Indianapolis, IN, USA.

Objective: To evaluate the utility of robotic repair of injuries to the ureter or bladder from obstetrical and gynaecological (OBGYN) surgery

Patients And Methods: A retrospective review of all patients from four different high-volume institutions between 2002 and 2013 that had a robot-assisted (RA) repair by a urologist after an OBGYN genitourinary injury.

Results: Of the 43 OBGYN operations, 34 were hysterectomies: 10 open, 10 RA, nine vaginally, and five pure laparoscopic. Nine patients had alternative OBGYN operations: three caesarean sections, three oophorectomies (one open, two laparoscopic), one RA colpopexy, one open pelvic cervical cerclage with mesh and one RA removal of an invasive endometrioma. Read More

J Urol 2014 Oct 15;192(4):1137-42. Epub 2014 Apr 15.

Institute for Bladder and Prostate Research, New York, New York. Electronic address:

Purpose: We report our experience with the diagnosis and treatment of women with urinary fistula after mid urethral sling surgery.

Materials And Methods: We retrospectively reviewed the records of patients with urinary fistula secondary to mid urethral sling surgery. Electronic medical records and billing records were searched. Read More

Urol Ann 2013 Oct;5(4):270-2

Department of Urology, King Faisal Specialist Hospital and Research Centre, Alfisal University, Riyadh 11211, Kingdom of Saudi Arabia.

Aim: To report the result of vesicovaginal fistula (VVF) repair using the transabdominal approach with flap interposition.

Materials And Methods: Between January 2004 and the end of 2011, operative reports data and medical records systems were reviewed for all VVF cases operated and followed in Urology Department. All patients had detailed history taking and physical exam followed by intravenous pyelograms or contrast CT abdomen and pelvis to rule out the presence of ureterovaginal fistulae. Read More

Female Pelvic Med Reconstr Surg 2013 Jul-Aug;19(4):249-52

Division of Female Pelvic Medicine and Reconstructive Surgery, The Christ Hospital, Cincinnati, OH 45219, USA.

Objective: To report a series of urinary tract injuries resultant of laparoscopic or robotic procedures performed for a gynecologic indication.

Methods: We identified 16 patients with urinary tract fistulas after laparoscopic or robotic gynecologic procedures between 2009 and 2012. We extracted demographic data and prior surgical data as well as reviewed our management of each case. Read More

Int Urogynecol J 2013 Jun 23;24(6):921-4. Epub 2013 Mar 23.

Section of Voiding Dysfunction and Female Urology, Division of Urology, Department of Surgery, University of Cincinnati College of Medicine, 231 Albert Sabin Way, ML 0589, Cincinnati, OH 45267, USA.

Ureterovaginal fistula (UVF) is an uncommon but devastating complication of gynecologic surgery. Management includes ureteral stenting for 6-8 weeks. For stent failure, ureteroneocystostomy (UNC) through an open, laparoscopic, or robotic abdominal approach is the classic alternative. Read More

Korean J Urol 2012 Nov 14;53(11):795-9. Epub 2012 Nov 14.

Department of Urology, Cheil General Hospital & Women's Healthcare Center, Kwandong University College of Medicine, Seoul, Korea.

Purpose: Urologic injuries occur frequently during surgery in the pelvic cavity. Inadequate diagnosis and treatment may lead to severe complications and side effects. This investigation examined the clinical features of urologic complications following obstetric and gynecologic surgery. Read More

Arch Esp Urol 2012 Sep;65(7):659-72

Robotic and Minimal Invasive Surgery Center, CIMI, Caracas, Venezuela.

We present the laparoscopic management of genitourinary fistulae, mainly five types of fistulae, vesicovaginal, ureterovaginal, vesicouterine, rectourethral and rectovesical fistula. Vesicovaginal fistula (VVF) is mostly secondary to urogynecologic procedures in developed countries, abdominal hysterectomy being the main cause of this condition; they represent 84.9% of the genitourinary fistulae (1). Read More

Scand J Urol 2013 Apr 8;47(2):140-4. Epub 2012 Aug 8.

Department of Urology, Sahlgrenska Academy at The University of Gothenburg, Sweden.

Objective: The aim of this retrospective study was to review what kinds of surgical procedures are most frequently complicated by urovaginal fistulae, to find out how they were diagnosed and managed, and to study the outcome after surgical reconstruction.

Material And Methods: Nineteen women who underwent fistula repair at Sahlgrenska University Hospital between 2003 and 2009 were retrospectively studied by reviewing the medical records.

Results: For 17 of the 19 patients hysterectomy was the causative procedure. Read More

Urol Ann 2012 May;4(2):102-5

Department of Urology, King Fahad Hospital of the University, University of Dammam, Dammam, Kingdom of Saudi Arabia.

Purpose: The aim of the study was to evaluate the minimal invasive approach and endourological techniques in managing the iatrogenic ureterovaginal fistula. The etiology and the diagnostic tools were also looked at.

Patients And Methods: A retrospective study was conducted on 20 patients with ureterovaginal fistulas. Read More

Int Urogynecol J 2012 Nov 25;23(11):1605-11. Epub 2012 Apr 25.

Center for Uterine Cancer, Research Institute and Hospital, National Cancer Center, 323 Illsan-ro, Ilsandong-gu, Goyang-si, Gyeonggi-do 410-769, Korea.

Introduction And Hypothesis: The purpose of this study was to evaluate the intra- and postoperative urologic complications and management in patients with cervical or endometrial cancer treated with laparoscopic radical hysterectomy and lymphadenectomy.

Methods: We retrospectively reviewed the medical records of 146 patients with cervical or endometrial cancer who underwent total laparoscopic radical hysterectomy with lymphadenectomy between August 2002 and April 2011. The intra- and postoperative urologic complications were analyzed. Read More

Female Pelvic Med Reconstr Surg 2012 Mar-Apr;18(2):71-8; quiz 78

Department of Obstetrics and Gynecology, Harbor-UCLA Medical Center, Torrance, CA, USA.

This review summarizes the available evidence in the literature on the etiology, diagnosis, management, and prevention of vesicovaginal, urethrovaginal, ureterovaginal, vesicocervical, and vesicouterine fistulae. Urogenital fistula is divided by origin: obstetric fistula occurring predominantly in developing countries and iatrogenic fistula, the most common cause in developed countries. Read More

Int Urogynecol J 2012 Dec 4;23(12):1675-8. Epub 2012 Feb 4.

Department of Urogynecology, Government Kasturba Gandhi Hospital & Institute of Social Obstetrics, Madras Medical College, Trilplicane, Chennai 600005, India.

Introduction And Hypothesis: A 10-year retrospective study was done to determine the outcome of vaginal repair for supratrigonal vesicovaginal fistulae (VVF).

Methods: One hundred thirty-two urinary fistulae were managed from 2001 to 2011 which include 34 ureterovaginal and 98 lower urinary tract fistulae. Fifty-three out of 98 were supratrigonal VVF, 49 were of benign etiology and 4 were malignancy induced. Read More

Actas Urol Esp 2012 Mar 29;36(3):191-5. Epub 2011 Jul 29.

Urology Clinics, Kartal Training and Research Hospital, Istanbul, Turkey.

Introduction And Objectives: We aimed to assess the results of the genitourinary fistula cases intervened in our center in a ten year period.

Patients And Methods: We evaluated the clinical data regarding genitourinary fistula from the medical records of 42 female patients who underwent surgery for this condition between May 2001 and June 2010. Age, previous medical history, diagnostic tools used, operative data and clinical outcomes of the patients were evaluated retrospectively. Read More

Int J Gynaecol Obstet 2011 Jul 6;114(1):10-4. Epub 2011 May 6.

Department of Gynecology, Ullevål University Hospital, Oslo, Norway.

Objective: To compare the characteristics of urogenital fistulae after cesarean delivery with those after spontaneous vaginal delivery.

Methods: A retrospective analysis of hospital records of 597 consecutive patients with a urogenital fistula who received treatment at Panzi Hospital, Bukavu, Democratic Republic of Congo, during 2005-2007.

Results: Of 576 women with an obstetric fistula, 229 (40%) had had a cesarean delivery; 55 (24%) of the 229 fistulae were considered to be iatrogenic. Read More

Can J Urol 2010 Apr;17(2):5117-9

Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, Ohio, USA.

Introduction: Peritoneovaginal fistula is an extremely rare cause of persistent vaginal leakage following a hysterectomy. Likewise, fallopian tube prolapse is an uncommon but known complication of hysterectomy. Fallopian tube prolapse resulting in peritoneal leakage has yet to be reported in the literature. Read More

Urol J 2010 ;7(1):35-9

Department of Surgery, MGM Medical College and MY Hospital, Indore, India.

Introduction: Urogenital fistula is one of the most devastating complications that can result from labor or urogenital surgeries. It is still a frequent problem in the developing world. Urogenital fistulas can lead to devastating medical, social, and psychological problems; thus cause major impact on the lives of girls and women. Read More

Radiographics 2009 Jul-Aug;29(4):1073-83

Academic Department of Radiology, St Bartholomew's Hospital, Dominion House, 59 Bartholomew Close, London EC1A 7ED, England.

A fistula that occurs in association with a malignancy of the female reproductive tract may be caused by a primary or recurrent tumor or may be a complication of surgery or radiation therapy. Identification of the cause, complexity, and location of a fistula is essential for optimal management planning. Radiologic imaging, particularly with computed tomography and magnetic resonance techniques, is invaluable for the assessment of gynecologic fistulas and may help direct the clinician toward the most appropriate management pathway. Read More

Urol Int 2009 8;82(4):404-10. Epub 2009 Jun 8.

Department of Urology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India.

Introduction: Our objective was to analyze the incidence, etiopathology, diagnosis and therapeutic aspects of the genitourinary fistula in an Indian population.

Methods: This is a retrospective analysis of the genitourinary fistulae repaired at the Department of Urology, Institute of Medical Sciences, Banaras Hindu University, between January 1990 and December 2006. The surgical approach varied in each patient. Read More

J Ayub Med Coll Abbottabad 2009 Apr-Jun;21(2):8-11

Department of Obstetrics & Gynaecology, Liaquat University of Medical & Health Sciences, Jamshoro, Pakistan.

Background: Uro-genital fistulas, majority of which are vesico-vaginal fistulas (VVF), are a great challenge for women in developing countries. It is commonly caused by prolong obstructed labour and is one of the worst complications of child birth and poor obstetric care. The objective of this descriptive study was to review the cases of genitourinary fistulae so as to understand the magnitude of the problem and its aetiology and to share our experience of surgical repair with other specialists in this field. Read More

Am J Obstet Gynecol 2008 Dec 22;199(6):644.e1-3. Epub 2008 Aug 22.

Institute of Gynecology and Obstetrics, Clinical Centre of Serbia, Belgrade, Serbia.

Objective: Injuries of the ureter or bladder or development of vesicovaginal and ureterovaginal fistulas are the most serious complications in gynecological surgery.

Study Design: This study included 536 women who underwent radical hysterectomy because of invasive cancer of the cervix uteri.

Results: During the surgery the ureter was injured in 1. Read More

Curr Urol Rep 2008 Sep;9(5):397-404

The New York Presbyterian Hospital, Weill Cornell Medical Center, 445 East 77th Street, New York, NY 10021, USA.

Post-traumatic urethral damage resulting in urethrovaginal fistulas or strictures, though rare, should be suspected in patients who have unexpected urinary incontinence or lower urinary tract symptoms after pelvic surgery, pelvic fracture, a long-term indwelling urethral catheter, or pelvic radiation. Careful physical examination and cystourethroscopy are critical to diagnose and assess the extent of the fistula. A concomitant vesicovaginal or ureterovaginal fistula should also be ruled out. Read More

Ann Surg Oncol 2008 Oct 23;15(10):2847-55. Epub 2008 Jul 23.

Department of Obstetrics and Gynecology, Southwest Hospital, Third Military Medical University, Chongqing, 400038, P.R. China.

Objectives: Cervical carcinoma is likely to become one of the most important indications for laparoscopic radical surgery. The laparoscopic technique combines the benefits of a minimally invasive approach with established surgical principles. In our institution, the laparoscopic radical hysterectomy and transperitoneal approach for lymphadenectomy have become the standard techniques for invasive cervical cancer. Read More

J Endourol 2008 Jun;22(6):1279-83

Department of Urology, School of Medicine, Universidade Estadual Paulista, Botucatu, Brazil.

Purpose: To present our series of patients who underwent laparoscopic correction of iatrogenic lesions and a review of the literature.

Patients And Methods: We evaluated 23 patients who underwent laparoscopic correction of iatrogenic lesions. Thirteen patients had open surgery, 6 had an endoscopic procedure, and 4 had a laparoscopic approach as the first surgical procedure. Read More

Abdom Imaging 2008 Sep-Oct;33(5):615-20

Department of Radiology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, South Korea.

Background: To evaluate the feasibility and efficacy of transrenal ureteral occlusion with microcoils in patients with ureterovaginal fistulas

Methods: Five women (median age 44 years, range 26-51 years) with ureterovaginal fistulas were treated by transrenal ureteral occlusion with microcoils. The underlying diseases were uterine fibroids (n = 3), a primitive neuroectodermal tumor of the uterine cervix (n = 1), and an ovarian cancer (n = 1). Microcoils with or without gelatin sponges, were placed antegradely through a percutaneous nephrostomy (PCN). Read More