Fistules vésicovaginales complexes. À propos de 55 cas

Tazi, K; Fassi, J El; Karmouni, Tarik; Koutani, Abdellatif; Ai, Attya; Hachimi, M; Lakrissa, A

doi:10.1016/s0003-4401(01)00056-0

Cited by 3 publications

(2 citation statements)

References 11 publications

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“…The choice of the surgical approach is not univocal [14] [15] [16]. Fistula may be approached either by vaginal or by trans-vesical or transperitoneal-vesical [15].…”

Section: Discussionmentioning

confidence: 99%

“…For Gueye et al [14], almost all types of vesico-vaginal fistulas can be repaired vaginal surgical approach. There are technical ways to expand the vaginal path: The simplest technique for repairing VVF is to split and sew separately from the two planes (vesical and vaginal) after reviving the embankment [16]. But this technique that is of great simplicity and low morbidity is not easy in transections.…”

Section: Discussionmentioning

confidence: 99%

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Transection Type, Vesico-Vaginal Fistula Surgery

Barry¹,

Diallo²,

Bah³

et al. 2020

OJU

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The objective of the study was to report the results of the surgery of the Vesico-vaginal fistula (VVF) transection types at CHU Conakry. Methods: This was a prospective descriptive study that focused on 64 patients operated for VVF transection type at the Urology department of CHU Conakry between January 2013 and December 2015. Four types of transection were defined according to the state of the urethra and vagina, the size of the fistula, the peri-fistulous tissue and associated lesions. The variables studied were the proportion of transection, age, the type of transection, the number of previous cures, the operative technique, the complications and the results after a follow-up of 3 months. Results: Transection accounted for 47.05% of the obstetric fistulas. The average age was 25.18 years old (14-43 years old). This was a Type I transection (11 cases), type II (27 cases), type III (19 cases) and type IV (7 cases). The surgical approach was vaginal in 64 cases. Fistulorraphy with a confection of a new cervix and cervico-urethral anastomosis was conducted in 19 patients, combined with bladder flap urethroplasty (30 patients) or vaginal flap (15 others). We recorded healing in 37 cases. Conclusion: Transection type VVF is a severe VVF. The preferential surgical approach was vaginal. Technical difficulties were related to associate lesions and the continence system affected.

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“…The choice of the surgical approach is not univocal [14] [15] [16]. Fistula may be approached either by vaginal or by trans-vesical or transperitoneal-vesical [15].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%