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Current Urology Reports
Published in: Current Urology Reports 11/2019

01-11-2019 | Stress Incontinence | Lower Urinary Tract Symptoms & Voiding Dysfunction (J Sandhu, Section Editor)

Neobladder-Vaginal Fistula: Surgical Management Techniques

Author: Melissa R. Kaufman

Published in: Current Urology Reports | Issue 11/2019

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Abstract

Purpose of Review

To describe the complexities of diagnosis and management of neobladder-vaginal fistula (NVF) following orthotopic urinary diversion in women.

Recent Findings

Multiple recent single-institution series confirm the variability of outcomes for NVF repairs and caution regarding comorbid stress urinary incontinence which may necessitate further interventions including conversion to alternate diversions.

Summary

Although both abdominal and transvaginal approaches have been advocated for surgical management of NVF, contemporary series from reconstructive surgeons favor a vaginal approach to decrease overall operative morbidity. Patients should be carefully counseled regarding neobladder and sphincter function following fistula repair along with the risks of secondary urinary diversion.
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Metadata
Title
Neobladder-Vaginal Fistula: Surgical Management Techniques
Author
Melissa R. Kaufman
Publication date
01-11-2019
Publisher
Springer US
Published in
Current Urology Reports / Issue 11/2019
Print ISSN: 1527-2737
Electronic ISSN: 1534-6285
DOI
https://doi.org/10.1007/s11934-019-0934-0

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