Colpocleisis in vesico-vaginal radiation fistula.

Abstract:

OBJECTIVE:To assess Latzko's colpocleisis with bilateral Martius flap as a solution for vesico vaginal fistula secondary to radiotherapy. METHOD:65 year old woman with past medical history of cervix adenocarcinoma treated with hysterectomy, pelvic radiotherapy and brachytherapy. She also had terminal colostomy for recto-vaginal fistula. She complained of a 2-year history of continuous urinary escape through vagina. On cistoscopy, the ureteral orifices were close to the loss of substance. Colpocleisis following Latzko's technique was performed. RESULTS:Complete resection of the fistulous tract and tension free closure is a surgical challenge not always achieved, and with a high recurrence rate. Latzko's colpocleisis is a simple and safe option in patients that have previously undergone a hysterectomy. Bilateral Martius flap increases vascular support of the affected tissues, which is of pivotal importance in patients subjected to radiotherapy. CONCLUSION:Latzko's colpocleisis is a valid therapeutic option in those histerectomised patients with vesico vaginal fistulas due to radiotherapy who are not eligible for fistulorraphy.

journal_name

Arch Esp Urol

authors

Díaz-Casanova B,Kim D,Ramírez F,Marrero R,Martell R,Rapariz M

subject

Has Abstract

pub_date

2011-11-01 00:00:00

pages

907-10

issue

9

eissn

0004-0614

issn

1576-8260

journal_volume

64

pub_type

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