Simple management of difficult vesicovaginal fistulae by the anterior transvesical approach
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A simple method of repairing vesicovaginal fistulae through an anterior transvesical approach is described. The process involves a minimal dissection and mobilization of the mucous membrane of the bladder in order to preserve the blood supply for the area of the fistula. Twenty-nine patients referred to one Urology Unit have been treated in this way over the past 10 years with a success rate of 86% after the first operative attempt.
KeywordsPublic Health Success Rate Blood Supply Mucous Membrane Simple Management
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