open access

Vol 81, No 6 (2010)
ARTICLES
Get Citation

Vesicovaginal fistulas – current therapeutical strategy

Tomasz Rechberger, Krzysztof Postawski, Katarzyna Romanek, Aleksandra Bartuzi
Ginekol Pol 2010;81(6).

open access

Vol 81, No 6 (2010)
ARTICLES

Abstract

Abstract Objectives: Clinical evaluation of Latzko operation in primary and recurrent vesicovaginal fistulas and an update on current therapeutical strategy. Material and methods: Evaluation of clinical efficacy has been performed in a group of 5 patients with confirmed vesicovaginal fistulas and in 1 woman with urethrovaginal fistula. Prior to the operation, four patients had undergone eight fistula operations in our department with unsuccessful outcome. Results: Fistula closure by Latzko operation has been achieved in 5 patients, including one patient who had surgery treatment repeated 3 months after the primary fistula operation. In total, additional Martius flap has been introduced twice. In patient, where fistula has been operated after 45 days since primary TVM and IVSO4 surgery, closure therapy failed. Conclusions: Surgical treatment by vaginal approach offers great therapeutical efficacy in the primary and recurrent vesicovaginal fistulas, even in cases when previous abdominal surgical treatment had failed.

Abstract

Abstract Objectives: Clinical evaluation of Latzko operation in primary and recurrent vesicovaginal fistulas and an update on current therapeutical strategy. Material and methods: Evaluation of clinical efficacy has been performed in a group of 5 patients with confirmed vesicovaginal fistulas and in 1 woman with urethrovaginal fistula. Prior to the operation, four patients had undergone eight fistula operations in our department with unsuccessful outcome. Results: Fistula closure by Latzko operation has been achieved in 5 patients, including one patient who had surgery treatment repeated 3 months after the primary fistula operation. In total, additional Martius flap has been introduced twice. In patient, where fistula has been operated after 45 days since primary TVM and IVSO4 surgery, closure therapy failed. Conclusions: Surgical treatment by vaginal approach offers great therapeutical efficacy in the primary and recurrent vesicovaginal fistulas, even in cases when previous abdominal surgical treatment had failed.
Get Citation

Keywords

vesicovaginal fistula, operation, diagnosis, treatment

About this article
Title

Vesicovaginal fistulas – current therapeutical strategy

Journal

Ginekologia Polska

Issue

Vol 81, No 6 (2010)

Bibliographic record

Ginekol Pol 2010;81(6).

Keywords

vesicovaginal fistula
operation
diagnosis
treatment

Authors

Tomasz Rechberger
Krzysztof Postawski
Katarzyna Romanek
Aleksandra Bartuzi

Regulations

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk
tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail:  viamedica@viamedica.pl