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Vesicovaginal and Ureterovaginal Fistulas: A Summary of 25 Years of Experience

1980; Lippincott Williams & Wilkins; Volume: 123; Issue: 3 Linguagem: Inglês

10.1016/s0022-5347(17)55941-8

1527-3792

Willard E. Goodwin, Peter T. Scardino,

Ureteral procedures and complications

No AccessJournal of Urology1 Mar 1980Vesicovaginal and Ureterovaginal Fistulas: A Summary of 25 Years of Experience Willard E. Goodwin and Peter T. Scardino Willard E. GoodwinWillard E. Goodwin and Peter T. ScardinoPeter T. Scardino View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)55941-8AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail The difficult problem of a vesicovaginal fistula originally was cured surgically by Sims in 1849. During the last 25 years at UCLA and affiliated hospitals 68 patients have been treated by urologic surgeons for fistulas between the vagina and the urinary tract: 21 ureterovaginal and 47 vesicovaginal and urethrovaginal fistulas. The ureterovaginal fistulas often were complex and patients presented the most challenging diagnostic problem. However, they usually were repaired successfully by simple ureteroneocystostomy. Vesicovaginal and urethrovaginal fistulas were repaired transvaginally in 24 cases, with 70 per cent success at the first attempt and 92 per cent success with 2 attempts. Transabdominal or combined approaches were less successful. Only 58 per cent of the cases were closed at first attempt. The transvaginal approach required less operating time, and resulted in less blood loss and shorter hospital stays than the transabdominal approach and will be described in detail. © 1980 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byFarahat Y, Elbendary M, Elgamal O, Tawfik A, Bastawisy M, Radwan M and Rasheed M (2012) Application of Small Intestinal Submucosa Graft for Repair of Complicated Vesicovaginal Fistula: A Pilot StudyJournal of Urology, VOL. 188, NO. 3, (861-864), Online publication date: 1-Sep-2012.Ezzat M, Ezzat M, Tran V and Aboseif S (2009) Repair of Giant Vesicovaginal FistulasJournal of Urology, VOL. 181, NO. 3, (1184-1188), Online publication date: 1-Mar-2009.TSAI C, TAYLOR F and BEAGHLER M (2018) ENDOSCOPIC URETEROURETEROSTOMY: LONG-TERM FOLLOWUP USING A NEW TECHNIQUEJournal of Urology, VOL. 164, NO. 2, (332-335), Online publication date: 1-Aug-2000.NESRALLAH L, SROUGI M and GITTES R (2018) THE O'CONOR TECHNIQUE: THE GOLD STANDARD FOR SUPRATRIGONAL VESICOVAGINAL FISTULA REPAIRJournal of Urology, VOL. 161, NO. 2, (566-568), Online publication date: 1-Feb-1999.LENG W, AMUNDSEN C and McGUIRE E (2018) MANAGEMENT OF FEMALE GENITOURINARY FISTULAS: TRANSVESICAL OR TRANSVAGINAL APPROACH?Journal of Urology, VOL. 160, NO. 6 Part 1, (1995-1999), Online publication date: 1-Dec-1998.McKay H (2018) VESICOVAGINAL AND VESICOCUTANEOUS FISTULAS: TRANSURETHRAL SUTURE CYSTORRHAPHY AS A NEW CLOSURE TECHNIQUEJournal of Urology, VOL. 158, NO. 4, (1513-1516), Online publication date: 1-Oct-1997.Selzman A, Spirnak J and Kursh E (2018) The Changing Management of Ureterovaginal FistulasJournal of Urology, VOL. 153, NO. 3, (626-628), Online publication date: 1-Mar-1995.Hernandez R, Himsl K and Zimmern P (2018) Transvaginal Repair of Bladder Injury During Vaginal HysterectomyJournal of Urology, VOL. 152, NO. 6 Part 1, (2061-2062), Online publication date: 1-Dec-1994.Arrowsmith S (2018) Genitourinary Reconstruction in Obstetric FistulasJournal of Urology, VOL. 152, NO. 2 Part 1, (403-406), Online publication date: 1-Aug-1994.Raz S, Bregg K, Nitti V and Sussman E (2018) Transvaginal Repair of Vesicovaginal Fistula Using a Peritoneal FlapJournal of Urology, VOL. 150, NO. 1, (56-59), Online publication date: 1-Jul-1993.Gerber G and Schoenberg H (2018) Female Urinary Tract FistulasJournal of Urology, VOL. 149, NO. 2, (229-236), Online publication date: 1-Feb-1993.Blandy J, Badenoch D, Fowler C, Jenkins B and Thomas N (2018) Early Repair of Iatrogenic Injury to the Ureter or Bladder after Gynecological SurgeryJournal of Urology, VOL. 146, NO. 3, (761-765), Online publication date: 1-Sep-1991.Wang Y and Hadley H (2018) Nondelayed Transvaginal Repair of High Lying Vesicovaginal FistulaJournal of Urology, VOL. 144, NO. 1, (34-36), Online publication date: 1-Jul-1990.Blaivas J (2018) Vaginal Flap Urethral Reconstruction: An Alternative to the Bladder Flap NeourethraJournal of Urology, VOL. 141, NO. 3 Part 1, (542-545), Online publication date: 1-Mar-1989.Maillet P, Pelle-Francoz D, Leriche A, Leclercq R and Demiaux C (2018) Fistulas of the Upper Urinary Tract: Percutaneous ManagementJournal of Urology, VOL. 138, NO. 6, (1382-1385), Online publication date: 1-Dec-1987.Hedlund H and Lindstedt E (2018) Urovaginal Fistulas: 20 Years of Experience with 45 CasesJournal of Urology, VOL. 137, NO. 5, (926-928), Online publication date: 1-May-1987.Sharma S, Madhusudnan P, Kumar A and Bapna B (2018) Vesicovaginal Fistulas of Uncommon EtiologyJournal of Urology, VOL. 137, NO. 2, (280-280), Online publication date: 1-Feb-1987.Udeh F (2018) Simple Management of Difficult Vesicovaginal Fistulas by Anterior Transvesical ApproachJournal of Urology, VOL. 133, NO. 4, (591-593), Online publication date: 1-Apr-1985.Webster G, Sihelnik S and Stone A (2018) Urethrovaginal Fistula: A Review of the Surgical ManagementJournal of Urology, VOL. 132, NO. 3, (460-462), Online publication date: 1-Sep-1984.Jones H (2018) Editorial CommentJournal of Urology, VOL. 130, NO. 6, (1075-1075), Online publication date: 1-Dec-1983.Bissada N and McDonald D (2018) Management of Giant Vesicovaginal and vesicourethrovaginal FistulasJournal of Urology, VOL. 130, NO. 6, (1073-1075), Online publication date: 1-Dec-1983.Murphy D, Grace P and O'Flynn J (2018) Ureterovaginal Fistula: A Report of 12 Cases and Review of the LiteratureJournal of Urology, VOL. 128, NO. 5, (924-925), Online publication date: 1-Nov-1982. Volume 123Issue 3March 1980Page: 370-374 Advertisement Copyright & Permissions© 1980 by The American Urological Association Education and Research, Inc.Metrics Author Information Willard E. Goodwin More articles by this author Peter T. Scardino Current address: Division of Urology, Baylor College of Medicine, Houston, Texas 77030. More articles by this author Expand All Advertisement PDF downloadLoading ...