Publications by authors named "Dmitri Y Pushkar"
Background: Pelvic radiation used for the treatment of malignant diseases is the primary cause of delayed vesicovaginal fistula.
Objective: We consider the Martius labial fatty flap technique and the Latzko upper colpocleisis as important tools for the urologist dealing with patients suffering from radiation-induced vesicovaginal fistula (RVVF).
Design, Setting, And Participants: In our clinic, 216 patients with RVVF underwent surgical treatment.
Objectives: Despite the apparent similarity, urethrovaginal fistulas (UVFs) are not identical to vesicovaginal defects. Obstetric trauma and vaginal surgery are the causes of a majority of urethrovaginal fistulas.
Methods: Careful preoperative evaluation is essential for identifying small UVFs or associated vesicovaginal fistulas and includes physical examination, cystourethroscopy, intravenous pyelography, ultrasonography, and urinalysis, but sometimes the final surgical plan can only be decided on after the patient is examined under anaesthesia with a metal sound in the urethra.