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Published in: International Urogynecology Journal 1/2013

01-01-2013 | Case Report

Vaginal repair of neobladder–vaginal fistula: a case report and review of the literature

Authors: Katherine Gelber, Justin Bohrer, Charles O. Kim, Steven Minaglia

Published in: International Urogynecology Journal | Issue 1/2013

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Abstract

Neobladder substitution after radical cystectomy for invasive cancer has become commonplace as it preserves normal volitional voiding through the native urethra and avoids urinary diversion. Neobladder–vaginal fistula (NVF) is a rare postoperative complication of this procedure that results in decreased quality of life. We describe a case of vaginal repair of a NVF and present a review of the literature.
Literature
1.
go back to reference Abol-enein H, Ghoneim MA (2001) Functional results of orthotopic ileal neobladder with serous-lined extramural ureteral reimplantation: experience with 450 patients. J Urol 165:1427–1432PubMedCrossRef Abol-enein H, Ghoneim MA (2001) Functional results of orthotopic ileal neobladder with serous-lined extramural ureteral reimplantation: experience with 450 patients. J Urol 165:1427–1432PubMedCrossRef
2.
go back to reference Ali-El-Dein B, El-Sobky E, Hohenfellner M, Ghoneim MA (1999) Orthotopic bladder substitution in women: functional evaluation. J Urol 161:1875–1880PubMedCrossRef Ali-El-Dein B, El-Sobky E, Hohenfellner M, Ghoneim MA (1999) Orthotopic bladder substitution in women: functional evaluation. J Urol 161:1875–1880PubMedCrossRef
3.
go back to reference Chang S, Cole E, Cookson M, Peterson M, Smith JA Jr (2002) Preservation of the anterior vaginal wall during female radical cystectomy with orthotopic urinary diversion: technique and results. J Urol 168:1442–1445PubMedCrossRef Chang S, Cole E, Cookson M, Peterson M, Smith JA Jr (2002) Preservation of the anterior vaginal wall during female radical cystectomy with orthotopic urinary diversion: technique and results. J Urol 168:1442–1445PubMedCrossRef
4.
go back to reference Granberg CF, Boorjian SA, Crispen PL, Tollefson MK, Farmer SA, Frank I, Blute ML (2008) Functional and oncological outcomes after orthotopic neobladder reconstruction in women. BJU Int 102:1551–1555PubMedCrossRef Granberg CF, Boorjian SA, Crispen PL, Tollefson MK, Farmer SA, Frank I, Blute ML (2008) Functional and oncological outcomes after orthotopic neobladder reconstruction in women. BJU Int 102:1551–1555PubMedCrossRef
5.
go back to reference Stein JP, Ginsberg DA, Skinner DG (2002) Indications and technique of the orthotopic neobladder in women. Urol Clin North Am 29:725–732PubMedCrossRef Stein JP, Ginsberg DA, Skinner DG (2002) Indications and technique of the orthotopic neobladder in women. Urol Clin North Am 29:725–732PubMedCrossRef
6.
go back to reference Tscholl R, Leisinger HJ, Hauri D (1987) The ileal S-pouch for bladder replacement after cystectomy: preliminary report of 7 cases. J Urol 138:344–347PubMed Tscholl R, Leisinger HJ, Hauri D (1987) The ileal S-pouch for bladder replacement after cystectomy: preliminary report of 7 cases. J Urol 138:344–347PubMed
7.
go back to reference Burkhard FC, Kessler TM, Mills R, Studer UE (2006) Continent urinary diversion. Crit Rev Oncol Hematol 57:255–264PubMedCrossRef Burkhard FC, Kessler TM, Mills R, Studer UE (2006) Continent urinary diversion. Crit Rev Oncol Hematol 57:255–264PubMedCrossRef
8.
go back to reference Henningsohn L (2006) Quality of life after therapy for muscle-invasive bladder cancer. Curr Opin Urol 16:356–360PubMedCrossRef Henningsohn L (2006) Quality of life after therapy for muscle-invasive bladder cancer. Curr Opin Urol 16:356–360PubMedCrossRef
9.
go back to reference Freeman JA, Tarter TA, Esrig D, Stein JP, Elmajian DA, Chen SC, Groshen S, Lieskovsky G, Skinner DG (1996) Urethral recurrence in patients with orthotopic ileal neobladders. J Urol 156:1615–1619PubMedCrossRef Freeman JA, Tarter TA, Esrig D, Stein JP, Elmajian DA, Chen SC, Groshen S, Lieskovsky G, Skinner DG (1996) Urethral recurrence in patients with orthotopic ileal neobladders. J Urol 156:1615–1619PubMedCrossRef
10.
go back to reference Hautmann RE, Egghart G, Frohneberg D, Miller K (1988) The ileal neobladder. J Urol 139:39–42PubMed Hautmann RE, Egghart G, Frohneberg D, Miller K (1988) The ileal neobladder. J Urol 139:39–42PubMed
11.
go back to reference Studer UE, Danuser H, Merz VW, Springer JP, Zingg EJ (1995) Experience in 100 patients with an ileal low pressure bladder substitute combined with an afferent tubular isoperistaltic segment. J Urol 154:49–56PubMedCrossRef Studer UE, Danuser H, Merz VW, Springer JP, Zingg EJ (1995) Experience in 100 patients with an ileal low pressure bladder substitute combined with an afferent tubular isoperistaltic segment. J Urol 154:49–56PubMedCrossRef
12.
go back to reference Stein JP, Skinner DG (2007) Orthotopic urinary diversion. In: Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA (eds) Campbell-Walsh urology, 9th edn. Saunders, Philadelphia Stein JP, Skinner DG (2007) Orthotopic urinary diversion. In: Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA (eds) Campbell-Walsh urology, 9th edn. Saunders, Philadelphia
13.
go back to reference Rapp DE, O’Connor RC, Katz EE, Steinberg GD (2004) Neobladder-vaginal fistula after cystectomy and orthotopic neobladder construction. BJU Int 94:1092–2095PubMedCrossRef Rapp DE, O’Connor RC, Katz EE, Steinberg GD (2004) Neobladder-vaginal fistula after cystectomy and orthotopic neobladder construction. BJU Int 94:1092–2095PubMedCrossRef
14.
go back to reference Ali-El-Dein B, Gomha M, Ghoneim MA (2002) Critical evaluation of the problem of chronic urinary retention after orthotopic bladder substitution in women. J Urol 168:587–592PubMedCrossRef Ali-El-Dein B, Gomha M, Ghoneim MA (2002) Critical evaluation of the problem of chronic urinary retention after orthotopic bladder substitution in women. J Urol 168:587–592PubMedCrossRef
15.
go back to reference Pruthi RS, Petrus CD, Bundrick WS Jr (2000) New onset vesicovaginal fistula after transurethral collagen injection in women who underwent cystectomy and orthotopic neobladder creation: presentation and definitive treatment. J Urol 164:1638–1639PubMedCrossRef Pruthi RS, Petrus CD, Bundrick WS Jr (2000) New onset vesicovaginal fistula after transurethral collagen injection in women who underwent cystectomy and orthotopic neobladder creation: presentation and definitive treatment. J Urol 164:1638–1639PubMedCrossRef
16.
go back to reference Gschwend JE, May F, Paiss T, Gottfried HW, Hautmann RE (1996) High dose pelvic irradiation followed by ileal neobladder urinary diversion: complications and long term results. Br J Urol 77:680–683PubMedCrossRef Gschwend JE, May F, Paiss T, Gottfried HW, Hautmann RE (1996) High dose pelvic irradiation followed by ileal neobladder urinary diversion: complications and long term results. Br J Urol 77:680–683PubMedCrossRef
18.
go back to reference Kumar A, Das SK, Trivedi S, Shankar Dwivedi U, Bahadur Singh P (2009) Neo-bladder vaginal fistula: an unusual complication after orthotopic urinary diversion. Saudi J Kidney Dis Transpl 20:658–661PubMed Kumar A, Das SK, Trivedi S, Shankar Dwivedi U, Bahadur Singh P (2009) Neo-bladder vaginal fistula: an unusual complication after orthotopic urinary diversion. Saudi J Kidney Dis Transpl 20:658–661PubMed
19.
go back to reference Miller E, Webster G (2001) Current management of vesicovaginal fistulae. Curr Opin Urol 11:417–421PubMedCrossRef Miller E, Webster G (2001) Current management of vesicovaginal fistulae. Curr Opin Urol 11:417–421PubMedCrossRef
20.
go back to reference Eilber K, Kavaler E, Rodriguez L, Rosenblum N, Raz S (2003) Ten-year experience with transvaginal vesicovaginal fistula repair using tissue interposition. J Urol 169:1033–1036PubMedCrossRef Eilber K, Kavaler E, Rodriguez L, Rosenblum N, Raz S (2003) Ten-year experience with transvaginal vesicovaginal fistula repair using tissue interposition. J Urol 169:1033–1036PubMedCrossRef
21.
go back to reference Tunuguntla HS, Manoharan M, Gousse AE (2005) Management of neobladder-vaginal fistula and stress incontinence following radical cystectomy in women: a review. World J Urol 23:231–235PubMedCrossRef Tunuguntla HS, Manoharan M, Gousse AE (2005) Management of neobladder-vaginal fistula and stress incontinence following radical cystectomy in women: a review. World J Urol 23:231–235PubMedCrossRef
22.
go back to reference Quek ML, Ginsberg DA, Wilson S, Skinner EC, Stein JP, Skinner DG (2004) Pubovaginal slings for stress urinary incontinence following radical cystectomy and orthotopic neobladder reconstruction in women. J Urol 172:219–221PubMedCrossRef Quek ML, Ginsberg DA, Wilson S, Skinner EC, Stein JP, Skinner DG (2004) Pubovaginal slings for stress urinary incontinence following radical cystectomy and orthotopic neobladder reconstruction in women. J Urol 172:219–221PubMedCrossRef
23.
go back to reference Bestard Vallejo JE, Orsola de los Santos A, Raventós Busquets CX, Planas Morin J, Morote Robles J (2009) Closure of a neobladder-vaginal fistula in a patient with Studer's type neobladder using a transvaginal approach with interposition of a Martius' flap. Arch Esp Urol 62:56–59PubMed Bestard Vallejo JE, Orsola de los Santos A, Raventós Busquets CX, Planas Morin J, Morote Robles J (2009) Closure of a neobladder-vaginal fistula in a patient with Studer's type neobladder using a transvaginal approach with interposition of a Martius' flap. Arch Esp Urol 62:56–59PubMed
24.
go back to reference Rangnekar NP, Imdad NP, Kaul SA, Pathak HR (2000) Role of the Martius procedure in the management of urinary-vaginal fistulas. J Am Coll Surg 191:259–263PubMedCrossRef Rangnekar NP, Imdad NP, Kaul SA, Pathak HR (2000) Role of the Martius procedure in the management of urinary-vaginal fistulas. J Am Coll Surg 191:259–263PubMedCrossRef
25.
go back to reference Lee RA, Symmonds RE, Williams TJ (1998) Current status of genitourinary fistula. Obstet Gynecol 72:313–319 Lee RA, Symmonds RE, Williams TJ (1998) Current status of genitourinary fistula. Obstet Gynecol 72:313–319
26.
go back to reference Ezzat M, Ezzat MM, Tran VQ, Aboseif SR (2009) Repair of giant vesicovaginal fistulas. J Urol 181:1184–1188PubMedCrossRef Ezzat M, Ezzat MM, Tran VQ, Aboseif SR (2009) Repair of giant vesicovaginal fistulas. J Urol 181:1184–1188PubMedCrossRef
27.
go back to reference Hautmann R, Paiss T, de Petriconi R (1996) The ileal neobladder in women: 9 years of experience with 18 patients. J Urol 155:76–81PubMedCrossRef Hautmann R, Paiss T, de Petriconi R (1996) The ileal neobladder in women: 9 years of experience with 18 patients. J Urol 155:76–81PubMedCrossRef
28.
go back to reference Horenblas S, Meinhardt W, Ijzerman W, Moonen LFC (2001) Sexuality preserving cystectomy and neobladder: initial results. J Urol 166:837–840PubMedCrossRef Horenblas S, Meinhardt W, Ijzerman W, Moonen LFC (2001) Sexuality preserving cystectomy and neobladder: initial results. J Urol 166:837–840PubMedCrossRef
Metadata
Title
Vaginal repair of neobladder–vaginal fistula: a case report and review of the literature
Authors
Katherine Gelber
Justin Bohrer
Charles O. Kim
Steven Minaglia
Publication date
01-01-2013
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 1/2013
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-011-1636-4

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