Neobladder-Vaginal Fistula: Surgical Management Techniques
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Purpose of Review
To describe the complexities of diagnosis and management of neobladder-vaginal fistula (NVF) following orthotopic urinary diversion in women.
Multiple recent single-institution series confirm the variability of outcomes for NVF repairs and caution regarding comorbid stress urinary incontinence which may necessitate further interventions including conversion to alternate diversions.
Although both abdominal and transvaginal approaches have been advocated for surgical management of NVF, contemporary series from reconstructive surgeons favor a vaginal approach to decrease overall operative morbidity. Patients should be carefully counseled regarding neobladder and sphincter function following fistula repair along with the risks of secondary urinary diversion.
KeywordsOrthotopic neobladder Neobladder-vaginal fistula Urinary diversion
Compliance with Ethical Standards
Conflict of Interest
M.R.K. is a principal investigator for Cook Myosite, resident course instructor for Boston Scientific, on the data safety monitoring board for Valencia Technologies, and is an assistant editor for the Journal of Urology.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
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