Prevention of vesicovaginal fistulas.

Obstet Gynecol

Published: June 1970

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Article Synopsis
  • Vesicovaginal reflux (VVR) is a functional disorder in females that can cause incontinence or be asymptomatic, often linked to high BMI and irregular voiding habits.
  • It may be confused with more serious conditions like fistulas or hydrocolpos, which require surgery, making accurate diagnosis essential.
  • Treatment mainly involves improving toileting practices and encouraging weight loss to manage symptoms.
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This study aimed to analyze factors associated with obstetric fistula care-seeking behavior in Guinea, based on data from the 2018 Demographic and Health Survey. Women aged 15-49 years who reported having obstetric fistula constituted the study population, statistical analysis was using Stata 16.0 software.

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This report meticulously examines a complex case involving a vesicovaginal fistula (VVF) and hydronephrosis following radiation treatment for stage IV cervical cancer. It highlights the challenges and nuanced treatment strategies essential for addressing such complications, particularly given the patient's comprehensive medical background, including her cancer treatment and subsequent radiation therapy. Through an in-depth case study, the report details the diagnostic process, emphasizing the role of advanced imaging techniques and clinical evaluations in detecting a VVF along with hydronephrosis - illustrating the delayed adverse effects of radiation therapy.

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Emergency delivery in pregnancies at high probability of placenta accreta spectrum on prenatal imaging: a systematic review and meta-analysis.

Am J Obstet Gynecol MFM

October 2024

Department of Obstetrics and Gynecology, Center for Fetal Cand High-Risk Pregnancy, University of Chieti, Chieti, Italy (Lucidi, D'Amico, and D'Antonio). Electronic address:

Background: Placenta accreta spectrum disorders are associated with a high risk of maternal morbidity, particularly when surgery is performed under emergency conditions. This study aimed to investigate the incidence of emergency cesarean delivery in patients with a high probability of placenta accreta spectrum disorders on prenatal imaging and to compare the maternal and neonatal outcomes between patients requiring emergency cesarean delivery and those not requiring emergency cesarean delivery.

Data Sources: MEDLINE, Embase, Cochrane, and ClinicalTrials.

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Article Synopsis
  • HWW syndrome is a rare congenital condition characterized by an obstructed hemivagina and related renal abnormalities, often diagnosed after the onset of menstruation due to nonspecific symptoms.
  • A 19-year-old female presented with hematuria and abdominal pain, eventually diagnosed with HWW syndrome along with a rare vesicovaginal fistula.
  • Treatment involved surgical procedures to remove the obstructed vaginal septum and repair the fistula, after which the patient recovered fully in three months, emphasizing the need for early identification and treatment to avoid complications.
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