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Conservative Resolution of a Vesicovaginal Fistula Including Laser Therapy in a Patient Who Underwent Recurrent Surgery After Prior Radiotherapy for Endometrial Cancer.
Cancer Rep (Hoboken)
November 2024
Division of Gynecologic Oncology, Michele and Pietro Ferrero Hospital, Verduno, Italy.
Article Synopsis
- Isolated vaginal vault recurrence of endometrial cancer can sometimes be treated effectively with rescue radiotherapy, but surgery is often preferred for patients who have previously undergone radiation.
- Vesicovaginal fistulas (VVFs) can develop following surgical interventions due to damaged pelvic tissue from prior treatments, complicating the patient's recovery and management.
- The case study presents a woman who experienced a VVF after robotic surgery for endometrial cancer, ultimately benefiting from a conservative treatment approach involving prolonged catheterization and laser therapy, which successfully resolved the fistula.
The effect of transvesical laparoscopic radical prostatectomy on sexual function and urinary continence.
BMC Surg
October 2024
Department of Urology, The First Affiliated Hospital, School of Medicine, ZheJiang University, HangZhou, 311800, China.
Article Synopsis
- A study looked at how a specific surgery for prostate cancer called transvesical laparoscopic radical prostatectomy (TVLRP) affects sexual function and how well patients can control their urine.
- 72 men with low-risk localized prostate cancer had this surgery, and the results were very good, with most having no problems after.
- Almost all the patients (97.8%) were able to control their urine a month after the surgery, and a lot of them also saw improvements in their ability to have erections over the year following the surgery.
The atlas of supine single port extraperitoneal access.
Int Braz J Urol
September 2024
Department of Urology, University of Illinois at Chicago, Chicago, Illinois, USA.
Introduction: The introduction of Single-Port (SP) platform opened the field to new surgical options, allowing to perform major urological robot-assisted procedures extraperitoneally and with a supine patient positioning (1-3). Nevertheless, a comprehensive description of different supine access options is still lacking (4-6). In this light, we provided a step-by-step guide of SP extraperitoneal supine access options also exploring preliminary surgical outcomes.
View Article and Find Full Text PDFPneumovesical vesicovaginal fistula repair: Lessons learned from an initial series of 25 patients.
Int J Urol
October 2024
Department of Urology, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea.
Objectives: This study aims to share the experiences and outcomes of laparoscopic pneumovesical repair for vesicovaginal fistulas (VVF).
Materials And Methods: A retrospective review of medical records from a single institution over 10 years was conducted. The focus was on patients who underwent VVF repair using a pneumovesical approach with three 5 mm laparoscopic ports.
Successful transvaginal repair of a vesicouterine fistula with delayed presentation.
BMJ Case Rep
July 2024
Obstetrics and Gynecology, Ballad Health, Greeneville, Tennessee, USA
A G4P4 woman in her 30s with a type II vesicouterine fistula, as defined by the Jozwik classification system, presented with symptoms of menouria, vaginal menses and urinary incontinence 8 years after caesarean delivery, the time of probable origination of the fistula tract. Transvaginal ultrasound identified a fistula tract communicating between the bladder and uterus, a rare finding that many years remote from caesarean delivery. Traditional surgical technique includes laparoscopic, abdominal and endoscopic methods of repair, sometimes using a transvesical approach.
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