Abstract
A urogenital fistula is an abnormal communication between the urinary tract and the vagina that causes urine to leak into the vagina via a route other than the urethral meatus. Vesicovaginal fistulae represent the most common type of fistula encountered by pelvic surgeons today. In developed countries, the more common etiologies include pelvic surgeries for hysterectomy, incontinence, or pelvic reconstructive procedures. In developing countries, pregnancy-related complications from obstructed labor result in ischemic injury to the bladder and vagina and can lead to very large fistulae that can be difficult to treat.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Lafay Pillet M, Leonard F, Chopin N, et al. Incidence and risk factors of bladder injuries during laparoscopic hysterectomy indicated for benign uterine pathologies: a 14.5 years experience in a continuous series of 1501 procedures. Hum Reprod. 2009;24(4):842–9.
Muleta M. Obstetric fistula in developing countries: a review article. J Obstet Gynaecol Can. 2006;28(11):962–6.
Mellano E, Tarnay C. Management of genitourinary fistula. Curr Opin Obstet Gynecol. 2014;26(5):415–23.
Blaivas J, Heritz D, Romanzi L. Early versus late repair of vesicovaginal fistulas: vaginal and abdominal approaches. J Urol. 1995;153(4):1110–2.
Shelbaia AM, Hashish NM. Limited experience in early management of genitourinary tract fistulas. Urology. 2007;69(3):572–4.
Badenoch D, Tiptaft R, Thakar D, et al. Early repair of accidental injury to the ureter or bladder following gynaecological surgery. Br J Urol. 1987;59(6):516–8.
Persky L, Herman G, Guerrier K. Non-delay in vesicovaginal fistula repair. Urology. 1979;13:273.
Blandy J, Badenoch D, Fowler C, et al. Early repair of iatrogenic injury to the ureter or bladder after gynecological surgery. J Urol. 1991;146(3):761–5.
Goodwin W, Scardino P. Vesicovaginal and ureterovaginal fistulas: a summary of 25 years of experience. J Urol. 1980;123:370–4.
Tancer M. The post-total hysterectomy (vault) vesicovaginal fistula. J Urol. 1980;123(6):839–40.
Ansquer Y, Mellier G, Santulli P, Bennis M, Mandelbrot L, Madelenat P, et al. Latzko operation for vault vesicovaginal fistula. Acta Obstet Gynecol Scand. 2006;85(10):1248–51.
Dorairajan L, Khattar N, Kumar S, et al. Latzko repair for vesicovaginal fistula revisited in the era of minimal-access surgery. Int Urol Nephrol. 2008;40(2):317–20.
Gellhaus P, Bhandari A, Monn M, Gardner T, Kanagarajah P, Reilly C, et al. Robotic management of genitourinary injuries from obstetric and gynaecological operations: a multi-institutional report of outcomes. BJU Int. 2015;115(3):430–6.
Hemal AK, Kolla SB, Wadhwa P. Robotic reconstruction for recurrent supratrigonal vesicovaginal fistulas. J Urol. 2008;180(3):981–5.
Agrawal V, Kucherov V, Bendana E, Joseph J, Rashid H, Wu G. Robotic-assisted laparoscopic repair of vesicovaginal fistula: a single-center experience. Urology. 2015;86(2):276–81.
Gupta NP, Mishra S, Hemal AK, Mishra A, Seth A, Dogra PN. Comparative analysis of outcome between open and robotic surgical repair of recurrent supra-trigonalvesico-vaginal fistula. J Endourol. 2010;24(11):1779–82.
Petrou SP, Jones J, Parra RO. Martius flap harvest site: patient self-perception. J Urol. 2002;167(5):2098–9.
Rangnekar NP, Imdad Ali N, Kaul SA, Pathak HR. Role of the martius procedure in the management of urinary-vaginal fistulas. J Am Coll Surg. 2000;191(3):259–63.
Holme A, Breen M, MacArthur C. Obstetric fistulae: a study of women managed at the Monze Mission Hospital. Zambia BJOG. 2007;114(8):1010–7.
Zambon JP, Batezini NS, Pinto ER, Skaff M, Girotti ME, Almeida FG. Do we need new surgical techniques to repair vesico-vaginal fistulas? Int Urogynecol J Pelvic Floor Dysfunct. 2010;21(3):337–42.
Browning A. Risk factors for developing residual urinary incontinence after obstetric fistula repair. BJOG. 2006;113(4):482–5.
Muleta M, Tafesse B, Aytenfisu HG. Antibiotic use in obstetric fistula repair: single blinded randomized clinical trial. Ethiop Med J. 2010;48(3):211–7.
Ayed M, El Atat R, Hassine LB, Sfaxi M, Chebil M, Zmerli S. Prognostic factors of recurrence after vesicovaginal fistula repair. Int J Urol. 2006;13(4):345–9.
Occhino JA, Trabuco EC, Heisler CA, Klingele CJ, Gebhart JB. Changes in vaginal anatomy and sexual function after vaginal surgery. Int Urogynecol J Pelvic Floor Dysfunct. 2011;22(7):799–804.
Pushkar DY, Dyakov VV, Kosko JW, Kasyan GR. Management of urethrovaginal fistulas. Eur Urol. 2006;50(5):1000–5.
Blaivas JG, Purohit RS. Post-traumatic female urethral reconstruction. Curr Urol Rep. 2008;9(5):397–404.
Golomb J, Leibovitch I, Mor Y, Nadu A, Ramon J. Fascial patch technique for repair of complicated urethrovaginal fistula. Urology. 2006;68(5):1115–8.
Lee D, Zimmern P. Long-term functional outcomes following non-radiated urethrovaginal fistula repair. World J Urol. 2016;34(2):291–6.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing AG
About this chapter
Cite this chapter
Ingber, M., Rackley, R.R. (2017). Vesicovaginal and Urethrovaginal Fistula Repair. In: Goldman, H. (eds) Complications of Female Incontinence and Pelvic Reconstructive Surgery. Current Clinical Urology. Humana Press, Cham. https://doi.org/10.1007/978-3-319-49855-3_21
Download citation
DOI: https://doi.org/10.1007/978-3-319-49855-3_21
Published:
Publisher Name: Humana Press, Cham
Print ISBN: 978-3-319-49854-6
Online ISBN: 978-3-319-49855-3
eBook Packages: MedicineMedicine (R0)