Review of experience with vesicovaginal fistula repair

Experience with suprapubic closure of vesicovaginal fistulas in 42 patients considered candidates for this procedure is reviewed. Five patients required a second operation for cure and the reasons for failure are discussed. Wide exposure with tension-free closure of well vascularized flaps and the j...

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Bibliographic Details
Published inTransactions of the American Association of Genito-Urinary Surgeons Vol. 71; p. 120
Main Author O'Conor, Jr, V J
Format Journal Article
LanguageEnglish
Published United States 1979
Subjects
Adolescent
Female
Humans
Methods
Retrospective Studies
Vesicovaginal Fistula - surgery
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Summary:Experience with suprapubic closure of vesicovaginal fistulas in 42 patients considered candidates for this procedure is reviewed. Five patients required a second operation for cure and the reasons for failure are discussed. Wide exposure with tension-free closure of well vascularized flaps and the judicious interposition of pedicled omentum have produced the most encouraging results. The litigious nature of this distressing condition is lessened when primary closure is successful and supravesical diversion by ileal or colonic conduits can be avoided.
ISSN:0065-7204