Abstract
Vesicovaginal fistula (VVF) is still a major cause for concern in many developing countries. It represents a significant morbidity in female urology. Continual wetness, odor, and discomfort cause serious social problems. The diagnosis of the condition has traditionally been based on clinical methods and dye testing. A successful repair of such fistulas requires an accurate diagnostic evaluation and timely repair using procedures that exploit basic surgical principles and the application of interposition flaps. The method of closure depends on the surgeon’s training and experience. The main complication of VVF surgery is recurrent fistula formation.
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References
Waaldijk K (1995) Surgical classification of obstetric fistulas. Int J Gynecol Obstet 49:161–163
Wall LL (2006) Obstetric vesicovaginal fistula as an international public-health problem. Lancet 368:1201–1209
Ibrahim T, Sadiq A, Daniel S (2000) Characteristics of VVF patients as seen at the specialist hospital Sokoto, Nigeria. West Afr Med J 19:59–63
Thaddeus S, Maine D (1944) Too far to walk: maternal mortality in context. Soc Sci Med 38:1091–1110
Cron J (2003) Lessons from the developing world: obstructed labor and the vesico-vaginal fistula. Medscape Gen Med 5(3)
Tahzib F (1983) Epidemiological determinants of vesicovaginal fistulas. Br J Obstet Gynaecol 90:387–391
Hilton P (2001) Surgical fistulae and obstetric fistulae. In: Cardozo LD, Staskin D (eds) Textbook of female urology and urogynaecology. Isis Medical Media Ltd, London, pp 691–719
Armenakas NA, Pareek G, Fracchia JA (2004) Iatrogenic bladder perforations: long-term follow-up of 65 patients. J Am Coll Surg 198:78–82
Penalver M, Angioli R (2000) Urinary diversion. Chapter 11. In: Glenn HW (ed) Urogynecologic surgery, 2nd edn. Lippincott-Raven, New York, pp 193–206
Margolis T, Mercer LJ (1994) Vesicovaginal fistula. Obstet Gynecol Surg 49(12):840–847
Zoubek J, McGuire EJ, Noll F, DeLancey JOL (1984) The late occurrence of urinary tract damage in patients successfully treated by radiotherapy for cervical cancer. J Urol 141:1347–1349
Adetiloye VA, Dare F (2000) Obstetric fistula: evaluation with ultrasonography. J Ultrasound Med 19:243–249
Andreoni C, Bruschini H, Trazzi JC, Simmetti R, Srougi M (2003) Combined vaginopscopy-cystoscopy: a novel simultaneous approach improving VVF evaluation. J Urol 170:2330–2332
Dwarkasing S, Hussain SM, Hop WC, Krestin GP (2004) Anovaginal fistulas: evaluation with endoanal MR imaging. Radiol 231:123–128
Volkmer BG, Keufer R, Nesslaner T, Loeffler M, Gottfried HW (2000) Color Doppler ultrasound in vesicovaginal fistulae. Ultrasound Med Biol 26:771–775
Qureshi IA, Hidayaatullah AAH, Ashfag S, Nayyar S (2004) Transvaginal versus transabdominal sonography in the evaluation of pelvic pathology. J Coll Physi Surg Pak 14:390–393
Kursch ED, Stovsky M, Ignatoff JM, Nanniraga WF, O’Connor VJ (1993) Use of fulguration in the treatment of vesicovaginal fistula. J Urol 149:292A
Kumar U, Albala DM (2001) Fibrin glue applications in urology. Curr Urol Rep 2(1):V79–V82
Angioli R, Penalver M, Muzii L, Mendez L, Mirhashemi R, Bellati F, Crocè C, Panici PB (2003) Guidelines of how to manage vesicovaginal fistula. Crit Rev Oncol/Hematol J 48(3):295–304
Enzelseberger H, Gitsch E (1991) Surgical management of vesicovaginal fistulas according to Chassar Moir’s method. Surg Gynecol Obstet 173:183–186
Carr LK, Webster GD (1996) Abdominal repair of vesicovaginal fistula. Urol 48(1):10–11
Kapoor R, Ansari MS, Singh P, Gupta P, Khurana N, Mandhani A, Dubey D, Srivastava A, Kumar A (2007) Management of vesicovaginal fistula: an experience of 52 cases with a rationalized algorithm for choosing the transvaginal or transabdominal approach. Indian J Urol 23(4):372–376
Dalela D, Ranjan P, Sankhwar PL, Sankhwar SN, Naja V, Goel A (2006) Supratrigonal VVF repair by modified O’Connor’s technique: an experience of 26 cases. Eur Urol 49(3):551–556
Shindel AW, Zhu H, Hovsepian DM, Brandes SB (2007) Ureteric embolization with stainless-steel coils for managing refractory lower urinary tract fistula: a 12-year experience. BJU 99(2):364–368
Wall LL, Wilkinson J, Arrowsmith SD, Ojengbede O, Mabeya H (2008) A code of ethics for the fistula surgeon. Int J Gynaecol Obstet 101(1):84–87
Rizvi SJ, Gupta R, Patel S, Trivedi A, Trivedi P, Modi P (2010) Modified laparoscopic abdominal vesico-vaginal fistula repair—"Mini-O’Conor" vesicotomy. J Laparoendosc Adv Surg Tech A 20(1):13–15
Zambon J, Batezini N, Pinto E, Skaff M, Girotti M, Almeida F (2010) Do we need new surgical techniques to repair vesico-vaginal fistulas? Int Urogynecol J 21:337–342
Melamud O, Elehel L, Turbow B, Shanberg A (2005) Laparoscopic vesicovaginal fistula repair with robotic reconstruction. Urol J 65:163–166
Hemal A, Wadwa P (2011) Robotic repair of vesico-vaginal fistula. In: Robotics in genitourinary surgery. Springer, London, pp 611–616
Hilton P (1998) The urodynamic findings in patients with urogenital fitulae. Br J Urol 81:539–542
Hilton P, Ward A, Molloy M, Umana O (1998) Periurethral injection of autologous fat for the treatment of post-fistula repair stress incontinence: a preliminary report. Int Urogynecol J Pelvic Floor Dysfunct 9:118–121
Smith GL, Williams G (1999) Vesicovaginal fistula. BJU Int 83:564–570
Ockrim JL, Greenwell TJ, Foley CL, Wood DN, Shah PJR (2009) A tertiary experience of vesico-vaginal and urethro-vaginal fistula repair: factors predicting success. BJU Int 103:1122–1126
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Stamatakos, M., Sargedi, C., Stasinou, T. et al. Vesicovaginal Fistula: Diagnosis and Management. Indian J Surg 76, 131–136 (2014). https://doi.org/10.1007/s12262-012-0787-y
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DOI: https://doi.org/10.1007/s12262-012-0787-y