TY - JOUR
T1 - In support of early treatment of postoperative vesicovaginal fistulas
AU - Tsivian, Alexander
AU - Uchvatkin, Georgy
AU - Shtricker, Avraham
AU - Yacobi, Yacov
AU - Kurenkov, Alexander
AU - Sidi, A. Ami
PY - 2006/7
Y1 - 2006/7
N2 - OBJECTIVE: The timing of surgery and the surgical approach of choice for vesicovaginal fistulas (VVFs) are matters of continuing debate. We review our experience with early treatment of postoperative VVFs. METHODS: From 1988 to 2003, 26 patients aged 18 to 70 years (mean, 47.7 years) underwent early reconstructive surgery in our departments for VVFs that had all been caused by previous pelvic surgery. RESULTS: The reconstructive surgery was carried out within the first 2 months (mean, 41 days; range, 5 days to 8 weeks) after the initial surgical procedure. The repair was accomplished by a transvaginal approach in 19 cases, by an extraperitoneal transvesical approach in 5, and by a combination of transvesical and transvaginal approaches in 2. Follow up was at least 1 year. The VVFs were successfully corrected in all 26 cases. CONCLUSIONS: VVFs resulting from pelvic surgery can be successfully managed by early repair, thus sparing the patient considerable distress and inconvenience.
AB - OBJECTIVE: The timing of surgery and the surgical approach of choice for vesicovaginal fistulas (VVFs) are matters of continuing debate. We review our experience with early treatment of postoperative VVFs. METHODS: From 1988 to 2003, 26 patients aged 18 to 70 years (mean, 47.7 years) underwent early reconstructive surgery in our departments for VVFs that had all been caused by previous pelvic surgery. RESULTS: The reconstructive surgery was carried out within the first 2 months (mean, 41 days; range, 5 days to 8 weeks) after the initial surgical procedure. The repair was accomplished by a transvaginal approach in 19 cases, by an extraperitoneal transvesical approach in 5, and by a combination of transvesical and transvaginal approaches in 2. Follow up was at least 1 year. The VVFs were successfully corrected in all 26 cases. CONCLUSIONS: VVFs resulting from pelvic surgery can be successfully managed by early repair, thus sparing the patient considerable distress and inconvenience.
KW - Corrective surgery
KW - Transvaginal
KW - Transvesical
KW - Vesicovaginal fistula
UR - http://www.scopus.com/inward/record.url?scp=33746716163&partnerID=8YFLogxK
U2 - 10.1097/01.spv.0000229897.81163.5e
DO - 10.1097/01.spv.0000229897.81163.5e
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AN - SCOPUS:33746716163
SN - 1542-5983
VL - 12
SP - 197
EP - 200
JO - Journal of Pelvic Medicine and Surgery
JF - Journal of Pelvic Medicine and Surgery
IS - 4
ER -