141 results match your criteria: "Vesicovaginal and Ureterovaginal Fistula"
Complications of laparoscopic radical hysterectomy and lymphadenectomy for invasive cervical cancer: experience based on 317 procedures.
Surg Endosc
June 2007
Department of Obstetrics and Gynecology, Southwest Hospital, Third Military Medical University, Chongqing, PR China.
Article Synopsis
- The report analyzes complications and conversion rates in laparoscopic radical hysterectomy and lymphadenectomy for invasive cervical cancer, based on data from 317 procedures conducted between July 2000 and December 2005.
- Major intraoperative complications occurred in 4.4% of cases, with a low overall conversion rate of 1.3%, highlighting the procedure's safety; however, several patients experienced vessel injuries and postoperative complications.
- The findings suggest that while laparoscopic methods are becoming more routine, attention to potential complications and the development of prevention strategies are essential for improving patient outcomes.
Ureterovaginal fistula following laparoscopic assisted vaginal hysterectomy: case report.
East Afr Med J
June 2006
Thika District Hospital, P.O. Box 6117-01000, Thika, Kenya.
Ureterovaginal fistula following laparoscopic assisted vaginal hysterectomy is reported. The injury was missed in the immediate post-operative period. There was delay in urological consultation.
View Article and Find Full Text PDFUrological trauma after gynecological and obstetric surgeries.
Scand J Urol Nephrol
December 2006
Urology and Nephrology Center, Mansoura University, Mansoura, Egypt.
Article Synopsis
- Gynecological and obstetric surgeries can lead to urinary tract injuries, with a study of 120 females over 18 years highlighting different types of injuries, including vesicovaginal and ureteric fistulas.
- Of the treated cases, 13.3% of vesicovaginal fistulae recurred, but there were no significant long-term kidney function losses linked to these injuries.
- The findings emphasize the importance of understanding urinary tract anatomy for prevention, and suggest that early intervention can effectively manage these surgical complications.
Surgical management of genitourinary fistula.
J Pak Med Assoc
July 2005
Department of Urology, Jinnah Postgraduate Medical Centre, Karachi.
Article Synopsis
- The study aims to identify the main causes of genitourinary fistulae and assess surgical treatment experiences at the Urology Department in Karachi.
- Out of 22 patients, 14 had Vesicovaginal Fistula (WF) primarily caused by obstetric issues, with 91% of cases successfully repaired on the first attempt.
- The findings suggest that uncomplicated WF can often be repaired through transvaginal methods, while more complicated cases may require transabdominal approaches and additional surgical techniques.
[Complication of laparoscopic radical hysterectomy and lymphadenectomy: an analysis of 23 cases].
Zhonghua Fu Chan Ke Za Zhi
July 2005
Department of Obstetrics and Gynecology, Southwest Hospital, Third Military Medical University, Chongqing 400038, China.
Article Synopsis
- The study investigates complications arising from laparoscopic radical hysterectomy and lymphadenectomy in patients with cervical and endometrial cancers, aiming to identify prevention strategies.
- A total of 278 procedures were performed, with a low overall conversion rate (1.4%) and major intraoperative complications occurring in 4.7% of patients; specific issues included vascular injuries and cystotomies.
- The findings suggest that while laparoscopic techniques are increasingly routine, unique complications exist, yet their frequency decreases with experience and improved techniques.
[Vesicovaginal fistula].
Ann Urol (Paris)
April 2004
Service d'urologie, hôpital Saint-Louis, hôpital des Diaconnesses, Paris, France.
Article Synopsis
- A thorough vaginal examination is essential for diagnosing the size and location of the fistula, which may also involve ruling out related conditions like ureterovaginal fistulas.
- Treatment options include both abdominal and vaginal surgical approaches, chosen based on the surgeon’s expertise, with postoperative care focusing on effective bladder drainage and follow-up imaging to ensure successful repair.
Genitourinary fistulas of obstetric origin.
Int Urol Nephrol
November 2003
Nishtar Medical College, Multan, Pakistan.
Article Synopsis
- This study reviews the management of 42 cases of obstetric-related genitourinary fistulas at Nishtar Hospital in Pakistan from December 1999 to May 2002.
- The types of fistulas included vesicovaginal, vesicouterine, ureterovaginal, and urethrovaginal, with surgical repairs performed three months after their formation.
- The overall success rate for surgical repairs was 85.7%, highlighting that success depends on the type, size, and location of the fistula, with careful adherence to surgical principles being essential.
[Surgical complications in patients treated for invasive cervical cancer].
Ginekol Pol
August 2003
Kliniki Ginekologii Akademii Medycznej w Gdańsku.
Article Synopsis
- - The study analyzed complications in 898 patients who underwent radical surgical treatment for invasive cervical carcinoma at the Medical University of Gdańsk from 1972 to 2000, categorizing them into four FIGO staging groups.
- - Out of the patients, 7.3% experienced intraoperative complications, with minor mortality rates and various issues such as massive hemorrhage and damage to local organs.
- - The findings indicate that the radical surgical treatment is relatively safe, with complication rates aligning with those reported by major oncology centers.
[The gynecologic ureter revisited].
Arch Ital Urol Androl
March 2002
Azienda Ospedaliera Ospedale di Circolo e Fondazione Macchi, Varese.
Article Synopsis
- From 1991 to 2001, 23 women were treated at Varese Hospital for urological issues resulting from gynecological surgeries, with an average age of 52.
- Among these patients, 5 had complete ureter divisions, 3 had ligated ureters, and 2 had angulation; additionally, 12 had vesico-vaginal fistulas and 1 had a uretero-vaginal fistula.
- Treatment options included various surgical techniques, such as reimplantation and psoas hitch for ureter injuries, and a combined approach for repairing fistulas, leading to successful outcomes for the patients.
Pelvic fistulas complicating pelvic surgery or diseases: spectrum of imaging findings.
Korean J Radiol
March 2002
Department of Radiology, Seoul National University College of Medicine and the Institute of Radiation Medicine, SNUMRC, Seoul, Korea.
Article Synopsis
- Pelvic fistulas can develop due to complications from childbirth, diseases like inflammatory bowel disease, cancer treatments, surgeries, or trauma, leading to distressing symptoms.
- These fistulas often occur in the pelvic cavity and can take various forms, including vesicovaginal and enterovaginal types.
- The article aims to showcase the different imaging characteristics associated with pelvic fistulas for better understanding and diagnosis.
Vesicovaginal and ureterovaginal fistulas: a review of 39 cases.
Int Urol Nephrol
February 2000
Department of Urology, Turkish High Specialization Hospital, Ankara.
Article Synopsis
- * 31 patients had vesicovaginal fistulas, 7 had ureterovaginal, and 1 had both; the ureterovaginal fistulas were successfully repaired using a specific surgical technique.
- * The overall success rates for repairing vesicovaginal and urethrovaginal fistulas were 77% on the first attempt and increased to 92% after multiple attempts, emphasizing the importance of surgical technique and experience.
Repair of complex ureterovaginal and vesicovaginal fistulas with ileal cystoplasty and ureteric reimplantation into an antireflux ileal nipple valve--a case report.
Ann Acad Med Singap
September 1998
Department of Urology, Singapore General Hospital, Singapore.
Article Synopsis
- A 59-year-old woman developed bilateral ureterovaginal and vesicovaginal fistulas following a radical total hysterectomy and bilateral salpingooophorectomy.
- Transvesical repair for her vesicovaginal fistula was unsuccessful due to significant scarring of the bladder, necessitating excision of part of it.
- The damaged bladder was replaced with an ileal cystoplasty, which included an antireflux valve, allowing for the ureters to be reimplanted and restoring urinary continuity without the need for a diversion or stoma.
[Uretero-vaginal fistulas. 45 cases].
Ann Urol (Paris)
December 1998
Clinique Urologique A, CHU Ibn Sina, Rabat, Maroc.
Article Synopsis
- * The main symptoms included urine leakage via the vagina, persistent urination issues, and low back pain, with some patients also experiencing renal complications, including acute renal failure.
- * Diagnostic methods like IVU were effective, confirming UVF in 87% of cases, and treatments varied widely, with 77% of patients having favorable outcomes after procedures such as ureterovesical reimplantation.
Management of female genitourinary fistulas: transvesical or transvaginal approach?
J Urol
December 1998
Department of Obstetrics and Gynecology, University of Texas-Houston Medical School, USA.
Article Synopsis
- * Types of fistulas included primary and recurrent vesicovaginal, complex, ureterovaginal, and urethrovaginal, with follow-up periods ranging from 8 months to 5 years.
- * The overall success rate was 92%, although failures were seen in patients with prior pelvic malignancy, and primary repairs for uncomplicated vesicovaginal fistulas demonstrated high success rates with minimal recovery time.
Urological injuries in gynaecological practice--when is the optimal time for repair?
Singapore Med J
November 1997
Department of Reproductive Medicine, KK Women's and Children's Hospital, Singapore.
Article Synopsis
- This study analyzes outcomes for patients with urological injuries after gynecological surgeries, focusing on those treated within 30 days versus those with delayed treatment.
- It involved eight patients with nine injuries, mainly affecting the ureters and bladder, with the majority receiving timely repairs that led to positive recovery outcomes.
- The findings suggest that early definitive repairs can be beneficial, challenging the traditional waiting period for treatment and reducing hospital stays and overall patient morbidity.
Article Synopsis
- In a study conducted at a Hamburg hospital, 106 patients underwent laparoscopic hysterectomies.
- Out of these, 92 patients had no complications, while 16 experienced complications—6 major and 10 minor.
- The major complications included various injuries and fistulas, while minor issues consisted mostly of infections and anemia, leading to an overall complication rate of 13.2%.
Iatrogenic injuries to ureter, bladder and urethra during abdominal and pelvic operations.
Int Urol Nephrol
August 1997
Department of Urology, Atatürk University School of Medicine, Research Hospital, Erzurum, Turkey.
Article Synopsis
- The study focuses on iatrogenic injuries to the ureter, bladder, and urethra resulting from abdominal and pelvic surgeries in Obstetrics and Gynaecology, and General Surgery at Atatürk University Research Hospital between 1985-1995.
- Out of 59 patients treated, most suffered from urinary vaginal fistulas (43 patients), with specific cases including vesicovaginal and ureterovaginal injuries, while others experienced ureteric ligation and bladder laceration.
- The findings emphasize the importance of careful catheterization during procedures to prevent these types of urinary tract injuries, which are more common than believed.
[Genitourinary fistulae at the National Institute of Perinatology].
Ginecol Obstet Mex
July 1996
Instituto Nacional de Perinatología, Clínica de Urología Ginecológica y Trastornos de Estática Pelvigenital, Sociedad Mexicana de Urología Ginecológica.
Article Synopsis
- - A retrospective study at the Instituto Nacional de Perinatologia examined urogenital fistulas from 1992 to 1995, focusing on their characteristics, causes, and treatment options based on patient records.
- - The study found that surgical gynecological procedures accounted for 51.1% and obstetric causes for 48.5% of fistula cases, with vesicovaginal being the most common type identified in 66.6% of patients.
- - Surgical treatments successfully repaired 80.9% of fistulas, and the incidence of obstetric vesicovaginal fistulas is believed to be increasing due to the nature of the patient population at the clinic, which consists primarily of obst
[Complications of radical hysterectomy during management of stage Ib and IIa cervix uteri cancer. Experience with 145 patients].
Ginecol Obstet Mex
June 1996
SSA Servicio de Ocología, Hospital General de México.
Article Synopsis
- * No patients died during the surgery, but there were 20 intraoperative complications and 39 postoperative complications, with the majority being bladder dysfunction.
- * Preservation of superior bladder arteries resulted in slightly longer surgery time and more blood loss but significantly fewer postoperative complications compared to cases where these arteries were not preserved.
[Ureterovaginal fistulas. A report of 17 cases].
J Gynecol Obstet Biol Reprod (Paris)
December 1996
Service d'Urologie, Casablanca, Maroc.
Article Synopsis
- The study investigated the causes, diagnosis, and treatment of ureterovaginal fistulas, focusing on 17 cases from 16 patients primarily resulting from gynecological and obstetrical surgeries.
- Diagnosis involved clinical assessment and intravenous pyelography, with various treatment methods applied, including the psoas-bladder hitch procedure and Boari-Küss flap.
- Results showed success in 14 patients, emphasizing that ureterovaginal fistulas are common post-surgery, and the psoas-bladder hitch is the preferred treatment, while prevention remains the most effective strategy.
[Urologic lesions in gynecologic and uro-gynecologic surgery. Two years of hospital experience].
Ginecol Obstet Mex
October 1995
Instituto Nacional de Perinatología, México, D.F.
Article Synopsis
- The study focused on urologic injuries occurring during gynecologic and urogynecologic surgeries at the National Institute of Perinatology, analyzing data from March 1993 to February 1995 involving 3,452 surgeries.
- Out of the surgeries, there were 20 cases of inferior urinary tract injuries, mostly caused by puncture or blunt trauma, with the bladder being the most commonly affected organ.
- Early diagnosis during surgery is crucial for better prognosis, as the injuries resulted in complications like urethral vaginal fistula and other related issues.
Urovaginal fistulae: 20 years' experience.
Eur Urol
June 1995
Urology and Nephrology Center, Mansoura University, Egypt.
Article Synopsis
- Over a 20-year period, 86 patients with urovaginal fistulae were treated, with the highest cases occurring in women aged 30-49 and very few after age 50.
- Most fistulae were classified as simple (e.g., bladder-vagina) or complex (involving multiple organs), with common causes being prolonged labor and surgical procedures like caesarean sections and hysterectomies.
- Treatment outcomes varied: successful repairs were seen in most cases, except for complex fistulae where some patients refused surgery or had unsuccessful corrections; successful techniques included ureteroneocystostomy, flap interposition, and various types of cystoplasty.
[Abdominal hysterectomy at the Hospital de Especialidades Dr. Miguel Dorantes Mesa, S.S. A report on 140 cases].
Ginecol Obstet Mex
October 1994
Servicio de Ginecología, Hospital Miguel Dorantes Mesa, SS, Xalapa, Ver.
Article Synopsis
- A study conducted on 140 hysterectomies at the "Miguel Dorantes Mesa" Hospital in Xalapa, Veracruz focused on various factors including age, medical history, and surgical outcomes between 1990 and 1992.
- The primary reason for the procedures was pre-malignant lesions, with benign neoplasias following; only 4% were due to malignant conditions.
- The surgery performed most often was extrafascial hysterectomy, usually accompanied by salpingo-oophorectomy, and the most common complications included bladder and ureter injuries, with no reported mortality.
[Urogenital fistula: our institutional experience].
Ginecol Obstet Mex
September 1994
Instituto Nacional de Perintología, México, D.F.
Article Synopsis
- The study reports on the experience of treating 11 patients with urogenital fistulas from March 1992 to May 1993, identifying them by type, including vesico-uterine and vesico-vaginal.
- Surgical correction was performed on 8 patients, with 1 treated vaginally and 7 through abdominal surgery, including 2 ureteroneocystostomies.
- The findings suggest that urogenital fistulas are common after gynecological surgeries and that the success of surgical repair is likely influenced more by the technique used than by the method of surgery (vaginal vs. abdominal).
Urinary tract fistulas following abdominal hysterectomy.
Ann Chir Gynaecol Suppl
October 1994
Department of Obstetrics and Gynaecology, Turku University Central Hospital, Finland.
Article Synopsis
- Sixteen patients developed urinary tract fistulas (14 vesicovaginal and 2 ureterovaginal) after undergoing simple abdominal hysterectomies over a span of 17 years.
- The majority of vesicovaginal fistulas were successfully treated using a transvesical technique, which was deemed both comfortable and effective.
- While closure of the fistula typically occurred more than four weeks post-diagnosis, earlier repair could provide similar outcomes and prevent ongoing hygiene issues; one patient achieved spontaneous closure after conservative treatment with a urinary catheter.