Management of Radiation-Induced Vesicovaginal Fistula

Complications After Polymeric and Metallic Ureteral Stent Placements Including Three Types of Fistula

“…The bladder and vaginal tissue can develop ulceration and necrosis. 13 In these situations, performing any traumatic procedure on the damaged tissue can trigger the development of VVF. In our patient, the use of balloon dilation to insert the MUS must have caused the VVF.…”

A Population-Based Assessment of Urologic Procedures and Operations After Surgery or Pelvic Radiation for Cervical Cancer

“…7 Experienced groups have reported good results during the treatment of some of these radiation complications, such as an 80% success rate for repairing vesicovaginal fistula after pelvic radiation, although this often required multiple surgeries. 4 Patients are frequently surprised to develop radiation complications so long after treatment. This study provides contemporary data that can facilitate realistic counseling of patients as they undergo their cervical cancer treatment.…”

Vesicovaginal Fistula After Fourteen Years of Pelvic Radiation

“…1,2 In low resourced countries, obstetric Þ stula resulting from neglected prolonged obstructed labor are common, whereas, in wellresourced countries, most of the Þ stula are associated with iatrogenic factors, surgery and radiotherapy or combined. 3 Radiotherapy has become an imperative treatment in cases of malignancy; primarily of pelvis. Fibrosis is a common complication of radiation, and are highly appreciated in healthy tissues post radiation.…”

“…1 The majority of Þ stula becomes apparent 1.5-2 year after termination of radiotherapy and maximum of 20-30 years post radiation. 3,4 Hence, pelvic radiation is the primary cause of delayed vesicovaginal Þ stula. Many times presence of a typical radiation induced VVF is preceded by radiation cystitis, fever, and hematuria.…”