Role of Day Care Vesicovaginal Fistula Fulguration in Small Vesicovaginal Fistula

Shah, Shrenik

doi:10.1089/end.2009.0557

Cited by 22 publications

(10 citation statements)

References 6 publications

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“…These included transvaginal injection of fibrin sealant in 1 case, Yag Laser welding in 8 patients, cystoscopic electrocoagulation/fulguration/catheter method in 11 patients, endovaginal application of cyanoacrylic glue in 3 cases, platelet rich plasma/rich fibrin glue application in 6 women, curettage of fistula tract in 3 cases and ball technique with rubber/metal ball in 18 females. Success ranged between 67%-100% and the majority consisted of small VVF (<1 cm) [ 22 , 26 , 37 , 39 , 44 , 62 , 76 , 86 , 112 , 122 ].…”

Section: Resultsmentioning

confidence: 99%

Management of vesicovaginal fistulas (VVFs) in women following benign gynaecologic surgery: A systematic review and meta-analysis

et al. 2017

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BackgroundVesicovaginal fistulas (VVF) are the most commonly acquired fistulas of the urinary tract, but we lack a standardized algorithm for their management. Surgery is the most commonly preferred approach to treat women with primary VVF following benign gynaecologic surgery.ObjectiveTo carry out a systematic review and meta-analysis on the effectiveness of operative techniques or conservative treatment for patients with postsurgical VVF. Our secondary objective was to define the surgical time and determine the types of study designs.MethodsPubMed, Old Medline, Embase and Cochrane Central Register of Controlled Trials were used as data sources. This systematic review was modelled on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement, including a registration number (CRD42012002097).ResultsWe reviewed 282 full text articles to identify 124 studies for inclusion. In all, 1379/1430 (96.4%) patients were treated surgically. Overall, the transvaginal approach was performed in the majority of patients (39%), followed by a transabdominal/transvesical route (36%), a laparoscopic/robotic approach (15%) and a combined transabdominal-transvaginal approach in 3% of cases. Success rate of conservative treatment was 92.86% (95%CI: 79.54–99.89), 97.98% in surgical cases (95% CI: 96.13–99.29) and 91.63% (95% CI: 87.68–97.03) in patients with prolonged catheter drainage followed by surgery. 79/124 studies (63.7%) provided information for the length of follow-up, but showed a poor reporting standard regarding prognosis. Complications were studied only selectively. Due to the inconsistency of these data it was impossible to analyse them collectively.ConclusionsAlthough the literature is imprecise and inconsistent, existing studies indicate that operation, mainly through a transvaginal approach, is the most commonly preferred treatment strategy in females with postsurgical VVF. Our data showed no clear odds-on favorite regarding disease management as well as surgical approach and current evidence on the surgical management of VVF does not allow any accurate estimation of success and complication rates. Standardisation of the terminology is required so that VVF can be managed with a proper surgical treatment algorithm based on characteristics of the fistula.

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Section: Resultsmentioning

confidence: 99%

Management of vesicovaginal fistulas (VVFs) in women following benign gynaecologic surgery: A systematic review and meta-analysis

et al. 2017

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“…O'Conor applied electrocoagulation for highly situated small fistula with dimensions of 3.5 mm or smaller. 2 Curettage of the fistula tract with screw followed by prolonged catheterization has been reported to be effective in a small series of patients by Aycinena. 2 However, there is no publication about sealing of VVF tract in the literature.…”

Section: Discussionmentioning

confidence: 99%

Transvesicoscopic Bipolar Sealing of Vesicovaginal Fistula

Akkoç

Aydın

Uçar

et al. 2018

Journal of Endourology Case Reports

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Introduction: Vesicovaginal fistula (VVF) is a problem that physically and psychologically debilitates the patient. Options for treatment of VVF include transabdominal, transvaginal, transvesical, laparoscopic, and robotic repair or minimally invasive methods such as fulguration. We describe a novel minimally invasive technique: transvesicoscopic bipolar sealing of the vesicovaginal fistula (TBSF).Case Presentation: We carried out the transvesicoscopic sealing of VVF with 5 mm of diameter on a 46-year-old woman, who had a failed conservative treatment with a Foley catheter placement. The patient was informed about the modified surgical procedure before operation. The fistula tract was sealed by using an electrothermal bipolar vessel sealer through a 5-mm transvesical ports. The patient was discharged on the first postoperative day and was on anticholinergic medications after the operation. The patient remained dry after the removal of the catheter at the third postoperative week.Conclusion: In select cases of VVF, TBSF may be effectively used for closure of the fistula tract.

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“…Meanwhile, ensuring an empty bladder, and post‐operative relaxation were key points which enhanced the success of the VVF repairs. And a three‐way urethral catheter was routinely used to prevent obstruction of the drainage and anti‐muscarinic drugs were regularly administered during the drainage to relax the bladder …”

Section: Discussionmentioning

confidence: 99%

Repair of complex vesicovaginal fistulas by combining a rotational bladder flap and full thick vascular peritoneal interposition

Chen

Yang

et al. 2015

Neurourology and Urodynamics

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Role of Day Care Vesicovaginal Fistula Fulguration in Small Vesicovaginal Fistula

Abstract: Endoscopic transvesical vesicovaginal fistula fulguration appears to be a safe and effective procedure for small VVF on day care basis, with decreasing morbidity, improving cosmesis, and decreased hospital stay.

Cited by 22 publications

References 6 publications

Management of vesicovaginal fistulas (VVFs) in women following benign gynaecologic surgery: A systematic review and meta-analysis

Management of vesicovaginal fistulas (VVFs) in women following benign gynaecologic surgery: A systematic review and meta-analysis

Transvesicoscopic Bipolar Sealing of Vesicovaginal Fistula

Repair of complex vesicovaginal fistulas by combining a rotational bladder flap and full thick vascular peritoneal interposition

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