Vesicovaginal and Vesicocutaneous Fistulas: Transurethral Suture Cystorrhaphy as a New Closure Technique

McKay, Hunter A.

doi:10.1016/s0022-5347(01)64256-3

Cited by 20 publications

(7 citation statements)

References 7 publications

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“…Un tipo di approccio a cavallo tra la terapia conservativa, e gli approcci transvaginale, ed endoscopico è la tecnica descritta da McKay. Egli, per primo, ha proposto la chiusura di una FVV per mezzo di una sutura transuretrale (84). La tecnica consiste in un'iniziale folgorazione del tratto fistoloso, il posizionamento di un catetere sovrapubico per il drenaggio vescicale e quindi la chiusura dell'epitelio vaginale per mezzo di suture in seta disposte orizzontalmente.…”

Section: Discussioneunclassified

Repair of post-hysterectomy vesicovaginal fistulae: the state of the art

Giusti

Lisa

2015

Urologia

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In western countries, vesicovaginal fistulae (VVF) are mostly iatrogenic and in the majority of cases are secondary to hysterectomy. The golden standard for the treatment of VVF has remained largely unchanged since 1953 (Couvelaire): good visualization, good dissection, good approximation of the margins, and good urine drainage. However, several aspects are still being debated, including whether or not to pursue conservative repair, the timing for surgical repair, whether to perform excision of the fistula tract, the best type of surgical access, and whether or not to use tissue interposition. We decided to review the state of the art in the treatment of VVF, which are exclusively of a traumatic nature and non-radiated, by performing a bibliography search carried on Pubmed using keywords such as "vesicovaginal fistula". The search focused on recent articles and was largely restricted to the past 10 years.

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Section: Discussioneunclassified

Repair of post-hysterectomy vesicovaginal fistulae: the state of the art

Giusti

Lisa

2015

Urologia

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“…Stovsky et al 17 referem sucesso com utilização da fulguração transuretral em fístulas relativamente pequenas 16 . Mckay 18 relatou o tratamento de um caso de fístula vesicovaginal e vesicocutânea usando a via transuretral para cistorrafia, referindo este autor ser esta via não indicada para os casos nos quais as fístulas são extensas, associadas a anormalidades como obstrução uretral ou em casos com a possibilidade de uretra estenótica.…”

Section: Discussionunclassified

Fístula vesicovaginal por litíase: relato de caso

Filho¹,

Kunsche²,

Devens³

et al. 2003

Rev. Bras. Ginecol. Obstet.

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“…The tract can easily be visualized by means of fistulography through the visible cutaneous site. Diagnosis and localization can also be accomplished with cystoscopy and cystography; cystoscopy-assisted repair is effective in selected patients (50).…”

Section: Fistulas Of the Lower Urinary Tract Bladder Fistulasmentioning

confidence: 99%

Fistulas of the Genitourinary Tract: A Radiologic Review

Yu¹,

Raman²,

Patel³

et al. 2004

RadioGraphics

152

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Fistulas of the genitourinary tract have diverse anatomic locations, causes, and clinical features. They can involve the upper urinary tract (kidney, ureter), the lower urinary tract (bladder, urethra), or the female reproductive tract (vagina, uterus). Causes include infection, inflammatory disease, neoplasms, congenital conditions, trauma, and iatrogenic injury. Diagnosis of genitourinary tract fistulas usually requires radiologic studies performed with fluoroscopic or cross-sectional modalities. Fistulography is the most direct means of visualizing a fistula and should be considered when feasible (eg, cutaneous fistulas). Intravenous urography and pyelography or ureterography are mainstays of investigation of the upper tract. Likewise, voiding cystourethrography and urethrography are central to study of the lower tract. Cross-sectional techniques, in particular computed tomography, are increasingly useful for diagnosis and are considered the primary test in some cases. Radiologists should be familiar with the radiologic features of genitourinary tract fistulas for accurate diagnosis and treatment planning. Management approaches depend on the type of fistula, the degree of morbidity, and the overall functional status of the patient and vary from conservative observation to aggressive surgical repair.

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Vesicovaginal and Vesicocutaneous Fistulas: Transurethral Suture Cystorrhaphy as a New Closure Technique

Abstract: Cystoscopically assisted suture closure of vesical fistulas can be a successful procedure in selected patients. Nontraditional instrumentation and technique allowed for transurethral closure of these fistulas.

Cited by 20 publications

References 7 publications

Repair of post-hysterectomy vesicovaginal fistulae: the state of the art

Repair of post-hysterectomy vesicovaginal fistulae: the state of the art

Fístula vesicovaginal por litíase: relato de caso

Fistulas of the Genitourinary Tract: A Radiologic Review

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