UroToday - European Urology - Complicated Postirradiation Vesicovaginal Fistula in Young Women: Keep Off or Try Reconstruction?

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Urologic Trauma and Reconstruction

European Urology - Complicated Postirradiation Vesicovaginal Fistula in Young Women: Keep Off or Try Reconstruction?

Monday, 01 January 2007

Volume 51, Issue 1, Pages 243-246 (January 2007)

Abstract -

Objective:

Repairing postirradiation vesicovaginal fistula is challenging because the fistula is surrounded by poorly vascularised and fibrotic tissue. An additional problem occurs when intravaginal brachytherapy has caused fibrosis of the vagina.

Methods

A one-stage technique was used for reconstruction of the vagina and fistula repair in three patients. The omentum and the sigmoid were used to enhance vascularisation and to create a neovagina.

Results

At a mean follow-up of 11 mo all patients are continent and report satisfactory sexuality.

Conclusion

Using the omentum and the sigmoid is a valuable technique to repair vesicovaginal fistula and to reconstruct the vagina in a one-stage procedure.

Caroline Verbaeys, Piet Hoebeke, Willem Oosterlinck

Department of Urology, University Hospital Ghent, Belgium

Accepted 5 June 2006 published online 22 June 2006.

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