Complexity-oriented surgical strategies in vesicovaginal fistulas
Langenscheidt, P.; Mast, G.J.; Becht, E.; Ziegler, M.
Der Urologe. Ausg. a 30(2): 94-98
1991
ISSN/ISBN: 0340-2592 PMID: 2058074 Document Number: 387051
Since 1975 a total of 55 patients with vesicovaginal fistulas have undergone surgery at the Clinic of Urology, University of Saarland, Homburg/Saar. A majority (55%) of the cases were complicated. In 9 cases supravesical urinary diversion was necessary. Successful closure of the fistula was achieved in 45 patients (81.8%); only in one case is the fistula still present. In 5 patients with uncomplicated fistulas successful closure was accomplished by a vaginal approach. In the presence of complications, e.g., previous radiotherapy or accompanying lesions of the ureter or rectum, a transvesical/transabdominal approach was preferred; surgery was successful in 93.3% of such cases.