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Vaginal repair of supratrigonal vesicovaginal fistulae--a 10-year review.

Abstract：

INTRODUCTION AND HYPOTHESIS:A 10-year retrospective study was done to determine the outcome of vaginal repair for supratrigonal vesicovaginal fistulae (VVF). METHODS:One hundred thirty-two urinary fistulae were managed from 2001 to 2011 which include 34 ureterovaginal and 98 lower urinary tract fistulae. Fifty-three out of 98 were supratrigonal VVF, 49 were of benign etiology and 4 were malignancy induced. Further analysis of 49 supratrigonal VVF of benign etiology revealed that 38 (77.5%) were of gynecological origin and 11 (22.5%) obstetric. Forty-three were primary and six were recurrent VVF. Thirty (61.2%) supratrigonal VVF were repaired vaginally and 19 (38.8 %) abdominally. Mean follow-up period was 51.7 months. RESULTS:The successful outcome for vaginal and abdominal repair was 86.7% and 100%, respectively (p value = 0.26). Overall, 91.8% supratrigonal VVF were cured at our first attempt. CONCLUSIONS:Majority of supratrigonal VVF can be approached vaginally with success rate comparable to abdominal approach.

journal_name

Int Urogynecol J

journal_title

International urogynecology journal

authors

Rajamaheswari N,Bharti A,Seethalakshmi K

doi

10.1007/s00192-012-1665-7

subject

Has Abstract

pub_date

2012-12-01 00:00:00

pages

1675-8

issue

12

eissn

0937-3462

issn

1433-3023

journal_volume

23

pub_type

杂志文章

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