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International Urogynecology Journal

Published in:

01-07-2010 | Original Article

Vaginal flap re-enforcement of vesico-vaginal fistula repair

Authors: Mohamed S. Shoukry, Mohamed E. Hassouna, Salah El-Salmy, Aly M. Abdel-Karim

Published in: International Urogynecology Journal | Issue 7/2010

Abstract

Introduction and hypothesis

Vesicovaginal fistula (VVF) is a distressing urologic disorder. We describe a new technique that adds a third layer of closure during vaginal repair of VVF.

Methods

Twenty female patients with low VVF were included. A circumferential incision was made around the fistula that was completely excised. A rectangular vaginal flap was created just proximal to the site of the fistula. After closure of the urinary bladder, the distal edges of the vaginal flap were dissected and it was mobilized and interposed between the bladder and the vagina. Then the vagina was closed.

Results

The mean follow-up was 16 ± 9 months. All of the patients are dry. None of them had any added morbidity due to the procedure. There are no postoperative complications.

Conclusions

Vaginal flap reinforcement during vaginal repair of VVF is a simple and effective technique with high success rate and no added complications.

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Title: Vaginal flap re-enforcement of vesico-vaginal fistula repair
Authors: Mohamed S. Shoukry
Mohamed E. Hassouna
Salah El-Salmy
Aly M. Abdel-Karim
Publication date: 01-07-2010
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 7/2010
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-010-1124-2

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Vaginal flap re-enforcement of vesico-vaginal fistula repair

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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