Skip to main content
Journal cover image

Management of female genitourinary fistulas: transvesical or transvaginal approach?

Publication ,  Journal Article
Leng, WW; Amundsen, CL; McGuire, EJ
Published in: J Urol
December 1998

PURPOSE: We reviewed 25 female genitourinary fistula repairs performed at our institution from 1993 to 1997. MATERIALS AND METHODS: Our series comprised 7 primary vesicovaginal, 6 recurrent vesicovaginal, 7 complex, 1 ureterovaginal and 4 urethrovaginal fistulas. Postoperative followup ranged from 8 months to 5 years. RESULTS: Overall, 92% of the patients were cured (23 of 25). The 2 failures occurred in patients with a history of pelvic malignancy involving adjuvant therapy. CONCLUSIONS: Complex irradiated vesicovaginal fistulas require staged repairs, often with pedicle flaps. However, primary repair of uncomplicated vesicovaginal fistulas is highly successful. Limited transvesical repair of these fistulas offers reliable success with minimal morbidity and hospital stay comparable to those of the transvaginal approach.

Duke Scholars

Published In

J Urol

DOI

ISSN

0022-5347

Publication Date

December 1998

Volume

160

Issue

6 Pt 1

Start / End Page

1995 / 1999

Location

United States

Related Subject Headings

  • Vaginal Fistula
  • Vagina
  • Urology & Nephrology
  • Urinary Fistula
  • Urinary Bladder
  • Urethral Diseases
  • Ureteral Diseases
  • Surgical Procedures, Operative
  • Humans
  • Follow-Up Studies
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Leng, W. W., Amundsen, C. L., & McGuire, E. J. (1998). Management of female genitourinary fistulas: transvesical or transvaginal approach? J Urol, 160(6 Pt 1), 1995–1999. https://doi.org/10.1097/00005392-199812010-00013
Leng, W. W., C. L. Amundsen, and E. J. McGuire. “Management of female genitourinary fistulas: transvesical or transvaginal approach?J Urol 160, no. 6 Pt 1 (December 1998): 1995–99. https://doi.org/10.1097/00005392-199812010-00013.
Leng WW, Amundsen CL, McGuire EJ. Management of female genitourinary fistulas: transvesical or transvaginal approach? J Urol. 1998 Dec;160(6 Pt 1):1995–9.
Leng, W. W., et al. “Management of female genitourinary fistulas: transvesical or transvaginal approach?J Urol, vol. 160, no. 6 Pt 1, Dec. 1998, pp. 1995–99. Pubmed, doi:10.1097/00005392-199812010-00013.
Leng WW, Amundsen CL, McGuire EJ. Management of female genitourinary fistulas: transvesical or transvaginal approach? J Urol. 1998 Dec;160(6 Pt 1):1995–1999.
Journal cover image

Published In

J Urol

DOI

ISSN

0022-5347

Publication Date

December 1998

Volume

160

Issue

6 Pt 1

Start / End Page

1995 / 1999

Location

United States

Related Subject Headings

  • Vaginal Fistula
  • Vagina
  • Urology & Nephrology
  • Urinary Fistula
  • Urinary Bladder
  • Urethral Diseases
  • Ureteral Diseases
  • Surgical Procedures, Operative
  • Humans
  • Follow-Up Studies