Abstract:
PURPOSE:In this prospective study we aimed to describe our new technique; dehydrated human dura mater as an interposition graft in patients undergoing benign vesicovaginal fistula repair (VVF). PATIENTS AND METHODS:Eleven patients with benign VVFs aged 38-73 years were operated with dura mater interposition technique at our institution between July 1996 and February 2002. In all patients fistula were secondary to abdominal hysterectomies with benign diseases and two had undergone previous transvaginal surgery. Patients were operated 8-15 (mean 12) weeks after previous surgery. A suprapubic cystotomy was performed and the fistula was not excised. The bladder wall is widely dissected from underlying vagina. Dura-mater was placed over the vaginal suture line to close the fistulous tract, cytostomy was inserted and the bladder was closed. An 18 F Foley catheter was left in the bladder for 5 days. A successful repair is defined as no leakage by cystogram at 14 days postoperatively and completely dry by patient report. RESULTS:An overall success rate of 100% was achieved in all patients. All patients remain dry at the follow-up which ranges from 7 to 60 (mean 26) mounts. Patients were discharged at 14 to 26 (mean 16) days postoperatively. No major complications or side effects were observed during the follow-up period. CONCLUSIONS:The use of human dura mater as an interposition graft in the treatment of vesicovaginal fistula is an alternative for VVF repairs because of its excellent tissue compability, stability, good elasticity and absorbability.
journal_name
Int Urol Nephroljournal_title
International urology and nephrologyauthors
Alagöl B,Gözen AS,Kaya E,Inci Odoi
10.1023/b:urol.0000032682.84973.e9keywords:
subject
Has Abstractpub_date
2004-01-01 00:00:00pages
35-40issue
1eissn
0301-1623issn
1573-2584journal_volume
36pub_type
杂志文章abstract:BACKGROUND:Acute kidney injury (AKI) secondary to acute tubular necrosis (ATN) is common in critically ill patients, and causes significant morbidity and mortality. The underlying etiology of ATN can be divided into pure ischemic, pure nephrotoxic, and mixed causes. This post-hoc analysis of a prospective cohort study ...
journal_title:International urology and nephrology
pub_type: 杂志文章
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更新日期:2012-12-01 00:00:00
abstract:OBJECTIVES:To study the impact of radical tumour surgery in prostate and renal cell cancer patients on quality of life (QOL). METHODS:In 38 male patients suffering from organ-confined prostate or renal cell cancer, a prospective study was performed. For the evaluation of QOL, we used the EMPK (Erfassung multipler psyc...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/BF02552179
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journal_title:International urology and nephrology
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doi:
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abstract::Renal inflammatory pseudotumor is a very rare benign condition of unknown etiology characterized by proliferative myofibroblasts, fibroblasts, histiocytes, and plasma cells. We report a case of inflammatory pseudotumor of the kidney. A 42-year-old female was admitted with the complaint of right flank pain. Computerize...
journal_title:International urology and nephrology
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journal_title:International urology and nephrology
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journal_title:International urology and nephrology
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journal_title:International urology and nephrology
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journal_title:International urology and nephrology
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journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/BF02082069
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journal_title:International urology and nephrology
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journal_title:International urology and nephrology
pub_type: 杂志文章
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更新日期:1991-01-01 00:00:00
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更新日期:2018-05-01 00:00:00
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journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/BF02551296
更新日期:1992-01-01 00:00:00
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journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/BF02081992
更新日期:1976-01-01 00:00:00
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journal_title:International urology and nephrology
pub_type: 杂志文章
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更新日期:1977-01-01 00:00:00
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更新日期:2020-09-26 00:00:00
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pub_type: 杂志文章
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