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Published in: International Urogynecology Journal 4/2006

01-08-2006 | Case Report

Successful closure of a bladder neck fistula complicated by urethral and vaginal stenosis, using oxidized cellulose (Surgicel) for reinforcement

Authors: Suneeta Mittal, J. B. Sharma, Nupur Gupta

Published in: International Urogynecology Journal | Issue 4/2006

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Abstract

We describe a case of a bladder neck fistula in a 25-year-old lady presenting with true urinary incontinence, vaginal constriction and induration, with vaginal length reduced to only 1.5 cm. There was an 8-mm fistula involving upper urethra and bladder neck, with fibrosis all around. Using Schuchardt incision, the fistula was reached and mobilization tried. As there was less available tissue, a 3×2-cm layer of oxidized cellulose was stitched between the bladder and the vaginal mucosa for reinforcement and to achieve a watertight closure of fistula.
Literature
1.
go back to reference Akman RY, Sargin S, Ozdemir G (1999) Vesicovaginal and ureterovaginal fistulas: a review. Int Urol Nephrol 31:321–326CrossRefPubMed Akman RY, Sargin S, Ozdemir G (1999) Vesicovaginal and ureterovaginal fistulas: a review. Int Urol Nephrol 31:321–326CrossRefPubMed
2.
go back to reference Goodwin WE, Scardino PT (1980) Vesicovaginal and ureterovaginal fistulas: a summary of 25 years of experience. J Urol 123:370–374PubMed Goodwin WE, Scardino PT (1980) Vesicovaginal and ureterovaginal fistulas: a summary of 25 years of experience. J Urol 123:370–374PubMed
3.
go back to reference Demirel A, Polat O, Bayraktar Y (1993) Transvesical and transvaginal reparation in urinary fistulas. Int Urol Nephrol 25:439–444PubMed Demirel A, Polat O, Bayraktar Y (1993) Transvesical and transvaginal reparation in urinary fistulas. Int Urol Nephrol 25:439–444PubMed
4.
go back to reference Nesrallah LJ, Srougi M, Gittes RF (1999) The O’Conor technique: the gold standard for supratrigonal vesicovaginal fistula repair. J Urol 161:566–568CrossRefPubMed Nesrallah LJ, Srougi M, Gittes RF (1999) The O’Conor technique: the gold standard for supratrigonal vesicovaginal fistula repair. J Urol 161:566–568CrossRefPubMed
5.
go back to reference Sharma JB, Malhotra M, Pundir P (2003) Laparoscopic oxidized cellulose (Surgicel) application for small uterine perforations. Int J Gynaecol Obstet 83:271–275CrossRefPubMed Sharma JB, Malhotra M, Pundir P (2003) Laparoscopic oxidized cellulose (Surgicel) application for small uterine perforations. Int J Gynaecol Obstet 83:271–275CrossRefPubMed
6.
go back to reference Sharma JB, Malhotra M (2003) Topical oxidized cellulose for tubal haemorrhage haemostasis during laparoscopic sterilization. Int J Gynaecol Obstet 82:221–222CrossRefPubMed Sharma JB, Malhotra M (2003) Topical oxidized cellulose for tubal haemorrhage haemostasis during laparoscopic sterilization. Int J Gynaecol Obstet 82:221–222CrossRefPubMed
7.
go back to reference Morita T, Tokue A (1999) Successful endoscopic closure of radiation induced vesicovaginal fistula with fibrin glue and bovine collagen. J Urol 162:1689CrossRefPubMed Morita T, Tokue A (1999) Successful endoscopic closure of radiation induced vesicovaginal fistula with fibrin glue and bovine collagen. J Urol 162:1689CrossRefPubMed
8.
go back to reference Sur TK, Biswas TK, Ali L, Mukherjee B (2003) Anti-inflammatory and anti-platelet aggregation activity of human placental extract. Acta Pharmacol Sin 24:187–192PubMed Sur TK, Biswas TK, Ali L, Mukherjee B (2003) Anti-inflammatory and anti-platelet aggregation activity of human placental extract. Acta Pharmacol Sin 24:187–192PubMed
Metadata
Title
Successful closure of a bladder neck fistula complicated by urethral and vaginal stenosis, using oxidized cellulose (Surgicel) for reinforcement
Authors
Suneeta Mittal
J. B. Sharma
Nupur Gupta
Publication date
01-08-2006
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 4/2006
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-005-0017-2

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