Management of female genitourinary fistulas: transvesical or transvaginal approach?

Journal Article (Clinical Trial;Journal Article)

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.

Full Text

Duke Authors

Cited Authors

  • Leng, WW; Amundsen, CL; McGuire, EJ

Published Date

  • December 1998

Published In

Volume / Issue

  • 160 / 6 Pt 1

Start / End Page

  • 1995 - 1999

PubMed ID

  • 9817308

International Standard Serial Number (ISSN)

  • 0022-5347

Digital Object Identifier (DOI)

  • 10.1097/00005392-199812010-00013


  • eng

Conference Location

  • United States