Abstract

NAVARRO SEBASTIAN, F.J. et al. Treatment approach for vesicogenital fistula: Restrospective analysis of our data. Actas Urol Esp [online]. 2003, vol.27, n.7, pp.530-537. ISSN 0210-4806.

The vesicogenital fistula are abnormal communications between female genitalia and urinary bladder. We recorded all the vesicogenital fistula diagnosed since 1986, analyzing aetiology, treatment applied, complications and results. Total number of fistula have been 20 (18 vesicovaginal and 2 vesicouterine). The distribution in vesicovaginal fistula was iatrogenic in 15 cases (83%) and tumoral in 3 cases (17%). Vesicouterine fistula were due to cesarea. The initial treatment of the iatrogenic fistula was conservative using foley catheter. Twenty percent of the patients were cured with this treatment (3 cases). Surgical repair was necessary for the other patients, using different surgical approach according to the type of the fistula, intensity and patient age. It was successful in 91% of the patients. The results shows that simple surgical approach generate less morbidity and the early intervention is not less efficient.

Keywords : Bladder fistula; Vesicovaginal fistula; Vesicouterine fistula; Urinary incontinence.

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