140 results match your criteria: "Vesicovaginal and Ureterovaginal Fistula"
Complex postoperative ureterovaginal and vesicovaginal fistula following a non-oncological hysterectomy: a report of a challenging complication.
J Surg Case Rep
November 2024
Department of Embryology, Faculty of Medicine, University of Thessaly, Larissa, 41500, Greece.
Article Synopsis
- A 43-year-old woman developed both UVF and VVF after a total hysterectomy and initially tried conservative treatment, which didn't work.
- She then underwent a successful surgical procedure to correct the issues and has remained symptom-free for a year, highlighting the importance of recognizing and managing these rare fistula formations effectively.
Virtual Education in Urogynecology: Enhancing Understanding and Management of Pelvic Fistulas.
MedEdPORTAL
July 2024
Associate Professor, Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine.
Article Synopsis
- Pelvic fistulas are a global health issue, and virtual education can enhance understanding of related conditions like urinary and fecal incontinence, particularly for medical students in the U.S.
- Two virtual cases on rectovaginal and vesicovaginal/ureterovaginal fistulas were created for students in an OB/GYN clerkship, allowing them to learn at their own pace and gather feedback for improvements.
- A survey indicated that 91% of participating students found the cases satisfactory and beneficial, boosting their confidence in managing pelvic fistulas and highlighting the importance of e-learning in clinical education.
Obstetric vesico-uterine fistula in nine reference hospitals in the Democratic Republic of the Congo: epidemiological, clinical, and therapeutic aspects.
BMC Womens Health
May 2024
Department of Obstetrics and Gynecology, Faculty of Medicine, University of Kisangani, Kisangani, DRC, Democratic Republic of the Congo.
Article Synopsis
- The rise in cesarean section rates has raised concerns about obstetric vesico-uterine fistula (OVUF) in the Democratic Republic of the Congo (DRC), warranting a study to analyze its epidemiology, clinical features, and treatment outcomes.
- This descriptive study, conducted from January 2017 to December 2022, included 1,267 patients with obstetric fistulas, of which 355 (28.0%) were identified as OVUF, predominantly affecting younger women from rural areas with low educational attainment.
- Key findings revealed that all OVUF cases were caused by cesarean deliveries, with a significant number of patients experiencing longer durations before repair, and most fistulas being solitary
Complications of total laparoscopic hysterectomy: A retrospective study of cases performed by a single surgeon.
J Minim Access Surg
January 2023
Department of OBGY, Endoworld Hospital Pvt. Ltd., Aurangabad, Maharashtra, India.
Article Synopsis
- * The study analyzed complications from total laparoscopic hysterectomy (TLH) over a 15-year period involving 3,272 women, focusing on both intraoperative and postoperative issues.
- * Results showed that TLH is generally safe with low rates of complications, and when performed by experienced surgeons, it can significantly improve patients' quality of life post-surgery.
Intravesical Herniation of Tubal Fimbria Through Vesicovaginal Fistula Associated with Ureterovaginal Fistula Mimicking Bladder Mass: A Case Report of Unreported and Undescribed Hernia.
J Reprod Infertil
January 2023
Department of Urology, Grant Government Medical College & Sir JJ Hospital, Mumbai, India.
Article Synopsis
- The text discusses a rare case of a 24-year-old woman with continuous urinary incontinence due to vesicovaginal and ureterovaginal fistulas after a total abdominal hysterectomy.
- Diagnosis involved cystoscopy revealing abnormal tissue and a hidden ureteric opening, indicating complex surgical needs.
- The surgery successfully repaired the fistulas and resolved incontinence, highlighting the importance of thorough investigation and histological checks for malignancy in similar cases.
Risk factors for and delayed recognition of genitourinary fistula following radical hysterectomy for cervical cancer: a population-based analysis.
J Gynecol Oncol
March 2023
Department of Obstetrics and Gynecology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Article Synopsis
- The study investigated risk factors for genitourinary fistulas and delayed recognition after radical hysterectomy for cervical cancer, analyzing data from over 23,000 patients in a specific database from 2004-2016.
- Key findings indicated that certain surgical environments, injury types, and cancer stages significantly increased the risk of ureterovaginal and vesicovaginal fistulas.
- The research concluded that surgical method and location impacted both the occurrence of fistulas and the timing of their diagnosis, particularly in high-volume hospitals and for patients with advanced cancer stages.
Incidence and Risk Factors for Genitourinary Tract Injury Within 1 Year After Surgery for Pelvic Organ Prolapse.
Urogynecology (Phila)
August 2022
Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Northwestern University, Chicago, IL.
Article Synopsis
- * A study analyzed data from 139,158 POP surgeries conducted between 2010 and 2019, revealing an overall GUTI rate of 1.10%, with the majority being ureteral injuries.
- * Key risk factors for GUTI included adhesiolysis, blood transfusion, low-volume surgeons, non-urology or gynecology specialties, and use of uterosacral suspension, indicating the importance of surgeon experience.
Robot-assisted laparoscopic repair of injuries to bladder and ureter following gynecological surgery and obstetric injury: A single-center experience.
Urol Ann
June 2021
Department of Urology and Transplantation Surgery, Smt. GR Doshi and Smt. K. M. Mehta Institute of Kidney Disease and Research Centre, Dr. H. L. Trivedi Institute of Transplant Sciences, Civil Hospital Campus, Ahmedabad, Gujarat, India.
Article Synopsis
- * A total of 27 patients were treated, with procedures including vesicovaginal fistula repairs and ureteral reimplants, showing no need for conversion to open surgery and successful outcomes.
- * The results indicate that this robotic approach is not only effective but also successful in cases that had previously experienced repair failures, with a positive follow-up report on complications.
Function and disability status among women with fistula using WHODAS2.0: A descriptive study from Rwanda and Democratic Republic of Congo.
Int J Gynaecol Obstet
May 2022
Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Article Synopsis
- The study aimed to evaluate the function and disability levels of women in Rwanda and the Democratic Republic of Congo suffering from fistula, identifying factors linked to higher disability scores.
- Using the WHO Disability Assessment Schedule 2.0, researchers assessed women's disabilities across six areas: cognition, mobility, self-care, social interaction, daily activities, and overall participation.
- Results showed that 83% of the 69 participants experienced high disability, particularly in life activities and societal participation, with different fistula types affecting disability levels uniquely.
A Multi-Institutional Experience with Robotic Vesicovaginal and Ureterovaginal Fistula Repair After Iatrogenic Injury.
J Endourol
November 2021
Department of Urology, Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania, USA.
Article Synopsis
- The study examines robotic repairs of iatrogenic urogynecologic fistulae, specifically vesicovaginal (VVF) and ureterovaginal fistulae (UVF), conducted across multiple institutions from January 2010 to May 2019.
- Out of 34 patients, 65% underwent VVF repair and 35% UVF repair, with a high success rate of 91% for VVF and 100% for UVF repairs after a follow-up period averaging around 29 months.
- The procedures demonstrated low complication rates, with the median operating times around 160-187 minutes, estimated blood loss of about 50 mL, and a standard length of hospital stay of
Comparison of oncological outcomes and major complications between laparoscopic radical hysterectomy and abdominal radical hysterectomy for stage IB1 cervical cancer with a tumour size less than 2 cm.
Eur J Surg Oncol
August 2021
Department of Obstetrics and Gynecology, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China; Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, 100730, China. Electronic address:
Article Synopsis
- The study aimed to compare the outcomes and complications of laparoscopic radical hysterectomy (LRH) versus abdominal radical hysterectomy (ARH) in patients with stage IB1 cervical cancer and tumors smaller than 2 cm.
- Results showed no significant differences in 3-year overall survival or disease-free survival rates between the two surgical methods.
- However, LRH was associated with higher rates of overall complications, specifically intraoperative and postoperative issues, particularly concerning ureteral injuries and ureterovaginal fistulas compared to ARH.
Article Synopsis
- This study investigates urologic complications following radical type C2 hysterectomy in cervical cancer patients, comparing outcomes with and without perioperative ureteral stenting.
- The study included 76 patients, randomly divided into two groups: one receiving ureteral stenting (24 patients) and the other not (52 patients), focusing on complications like ureter and bladder lesions as well as fistulas.
- Results showed that urologic complications were more common in the group without stenting (10.5% vs. 2.6%), indicating that stenting may help reduce these risks during and after surgery.*
Vaginal repair of nonradiogenic urogenital fistulas.
Int Urogynecol J
September 2021
Department of Urogynecology, Alexianer St. Hedwig Hospital, Berlin, Germany.
Article Synopsis
- Urogenital fistulas are uncommon in developed countries, often resulting from surgical or radiation complications, and can be repaired using various minimally invasive techniques, with the vaginal approach being the least invasive.
- A study analyzing 50 patients treated between 2008 and 2018 found that 96% underwent vaginal repairs with a high success rate of 96% achieved in one operation using the modified Sims-Simon technique.
- The median surgery lasted 40 minutes with a complication rate of 14%, highlighting the effectiveness and benefits of this approach for benign gynecological fistulas.
Article Synopsis
- The study aimed to evaluate the characteristics of women with genitourinary (GU) fistula in Kigali, Rwanda, over five years, focusing on the impact of increased cesarean section rates.
- Out of 2,091 women evaluated, 630 (30%) were diagnosed with GU fistula, with the majority being vesicovaginal, and a growing percentage involving the ureter, uterus, or cervix over the study period.
- The findings indicate a significant rise in certain types of fistula, particularly after cesarean deliveries, suggesting a need for further investigation into the effects of increasing surgical interventions on women's health outcomes.
Comparison of urologic complications between laparoscopic radical hysterectomy and abdominal radical hysterectomy: A nationwide study from the National Health Insurance.
Gynecol Oncol
July 2020
Department of Preventive Medicine, Konkuk University School of Medicine, 263 Achasan-ro, Gwangjin-gu, Seoul 05030, South Korea. Electronic address:
Article Synopsis
- The study compared risks of urologic complications during and after laparoscopic radical hysterectomy (LRH) versus abdominal radical hysterectomy (ARH) in Korean women using health insurance data from 2006 to 2018.
- A total of 19,774 patients were analyzed, revealing that while overall urologic complications were low, LRH was associated with a higher rate of postoperative complications compared to ARH, specifically a higher risk of vesicovaginal fistula.
- The findings suggest that although intraoperative complications were similar, women undergoing LRH faced increased postoperative risks, warranting careful consideration of surgical options.
Bilateral Ureterovaginal Fistulas and Vesicovaginal Fistula in Setting of Retained Pessary.
Urology
July 2020
Department of Urology, University of Virginia, Charlottesville, VA.
Article Synopsis
- *Such fistulas have been associated with issues like retained intrauterine devices, neglected pessaries, and unusual sexual practices or psychological conditions.
- *This text highlights the first known case of both bilateral ureterovaginal and vesicovaginal fistulas occurring together due to a retained pessary.
Baseline renal function and renal ultrasound findings in patients with obstetric fistulas (RENFRU): a prospective cohort study.
BJOG
June 2020
Freedom from Fistula, Lilongwe, Malawi.
Article Synopsis
- The study aimed to analyze renal anatomy and function in women with obstetric fistulas and assess the impact of renal tests on surgery decisions.
- Conducted at a Fistula Care Centre in Malawi, the research involved baseline creatinine testing and renal ultrasounds for 85 obstetric fistula patients.
- Results indicated that most patients had normal renal function, and preoperative renal ultrasounds were deemed highly useful by surgeons, especially for those at risk of ureterovaginal fistulas.*
Effect of laparoscopic versus abdominal radical hysterectomy on major surgical complications in women with stage IA-IIB cervical cancer in China, 2004-2015.
Gynecol Oncol
January 2020
Department of Obstetrics and Gynecology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China. Electronic address:
Article Synopsis
- The study aimed to analyze trends in surgical methods for cervical cancer and compare the complication rates between laparoscopic and abdominal radical hysterectomy from data gathered in China between 2004 and 2015.
- A total of 18,447 patients were studied, showing a significant increase in laparoscopic surgeries, from 0.35% in 2004 to 49.31% in 2015; however, this method was linked to a higher risk of complications, such as ureteral and bowel injuries.
- Overall, while both surgical approaches had similar rates of certain complications, laparoscopic surgery had increased odds for several major issues, indicating it may not always be the safer option compared to abdominal surgery.
Update on vesicovaginal fistula: A systematic review.
Arab J Urol
March 2019
Department of Urology, Assiut University Urology Hospital, Assiut University, Assiut, Egypt.
Article Synopsis
- The study conducted a systematic review of literature on vesicovaginal fistula (VVF), examining its causes, diagnosis, prevention, and management across both developed and underdeveloped countries.
- The review analyzed 116 articles, ultimately including 43 relevant studies, finding that surgical reconstruction success rates exceed 90%, although outcomes for radiotherapy-induced VVFs are less favorable.
- The research emphasizes that surgical treatment is the primary repair method for VVF, recommending a waiting period of at least 3 months post-inflammation for optimal surgical outcomes.
Laparoscopic repair of female genitourinary fistulae: 10-year single-center experience.
Int Urogynecol J
July 2020
Section of Female Urology and Laparoscopy, Urology Department, Alexandria University, Alexandria, Egypt.
Article Synopsis
- The study examines a 10-year experience in laparoscopic repairs for various female genitourinary fistulae, focusing on both conventional and LESS techniques.
- A total of 46 patients were analyzed, with the majority having vesicovaginal (VVF) or vesicouterine (VUF) fistulae, and procedures resulted in no intraoperative complications and a mean hospital stay of just over three days.
- The findings indicate that laparoscopic repairs, including LESS methods, are effective and safe, providing a high success rate and reduced recovery time compared to traditional approaches.
Incidence, type and management of ureteric injury associated with vesicovaginal fistulas: Report of a series from a specialized center.
Int J Urol
July 2019
Department of Urology, University College London Hospital, London, UK.
Article Synopsis
- - The study analyzed 116 patients with vesicovaginal fistula from 2004 to 2016, focusing on demographics, causes, repair methods, and potential ureteric injuries associated with the condition.
- - Only 3.4% of the patients showed ureteric injuries, with varying complications such as ureteric obstruction and ureterovaginal fistulas. All injuries were treated alongside the repair of the fistula.
- - The findings suggest that ureteric injury is less common than previously thought, affecting less than 5% of patients, and successful management of these injuries is crucial for abdominal repair procedures.
Our Experience with Iatrogenic Ureteric Injuries among Women Presenting to University College Hospital, Ibadan: A Call to Action on Trigger Factors.
Obstet Gynecol Int
February 2019
Genitourinary/Urogynaecology Unit, Faculty of Clinical Science, UI, Ibadan, Nigeria.
Article Synopsis
- Ureteric injuries are less common than vesicovaginal fistulas (VVF) but have seen an increase at University College Hospital (UCH), particularly following caesarean deliveries.
- A study reviewed 18 cases of ureterovaginal fistulas (UVF) caused by surgical errors, primarily after emergency caesarean sections, indicating a need for better surgical training.
- The majority of injuries were on the left side, with postoperative complications including infections and hemorrhage, highlighting the risks associated with cesarean surgeries in Nigeria.
Approach to Ureterovaginal Fistula: Examining 13 Years of Experience.
Female Pelvic Med Reconstr Surg
June 2019
Northwestern University, Chicago, IL.
Article Synopsis
- The study examines the management and outcomes of ureterovaginal fistulas over a 13-year period, assessing demographic data, diagnostic processes, and treatment effectiveness.
- Out of 19 cases identified, most fistulas occurred post-hysterectomy, with a primary focus on conservative treatments like ureteral stenting and reimplantation, achieving an 83% success rate in conservative management.
- The findings suggest that ureteral stenting is effective for select patients, while more complex cases might require ureteral reimplantation as the preferred treatment option.
Cystoscopy at the time of benign hysterectomy: a decision analysis.
Am J Obstet Gynecol
April 2019
Division of Urogynecology, Department of Obstetrics and Gynecology, Trinity Health of New England, Hartford, CT.
Article Synopsis
- Gynecologists are debating whether to use intraoperative cystoscopy during benign hysterectomies due to its potential benefits in detecting urinary tract injuries early, which can lead to lower costs and decreased health complications later on.* -
- The study aimed to assess the financial implications of routine, selective, or no cystoscopy during benign hysterectomy using a decision analysis model to evaluate different surgical approaches.* -
- Findings indicated varying rates of bladder and ureteral injuries depending on the type of hysterectomy performed, and highlighted that the costs associated with diagnosing and treating injuries post-surgery are significantly higher than managing them intraoperatively.*
Spectrum of urologic complications in obstetrics and gynecology: 13 years' experience from a tertiary referral center.
Turk J Urol
May 2019
Department of Urology, King George's Medical University, Lucknow, India.
Article Synopsis
- * Most patients (90.4%) were from rural areas, with vesicovaginal fistulas being the most common type, caused mainly by obstructed labor and abdominal hysterectomy, leading to varying times of presentation and diverse surgical success rates.
- * The findings highlight that genitourinary fistulas remain a significant issue in developing regions, emphasizing the need for improved healthcare access and adaptable surgical techniques by providers.