Vesicovaginal fistula repair using a transurethral pointed electrode

Hong HM, Hye-Min Hong, Lee JW, Jea-Whan Lee, Han DY, Dong-Youp Han, Jeong HJ, Hee-Jong Jeong
International neurourology journal · 2010 · vol. 14(1) , pp. 65–8 · doi:10.5213/inj.2010.14.1.65 · PMID:21120179 · PMC2989481
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This paper reports a technique using a transurethral pointed electrode for treating multiple, small vesicovaginal fistulas and describes its outcomes.

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This study presents a surgical technique for repairing multiple, small vesicovaginal fistulas using a transurethral pointed electrode. The authors note that while hysterectomy is the most frequent cause of such fistulas, complete excision of the fistulous tract and surrounding scar tissue remains an essential principle for successful repair. They report their specific outcomes using this minimally invasive approach to address these complex cases. This paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

The most common cause of vesicovaginal fistulasis injury to the bladder at the time of surgery. The operation most frequently responsible for vesicovaginal fistula formation is hysterectomy. The first successful transvaginal approach to vesicovaginal fistula repair was reported by Sims in 1838. Although many surgical procedures exist, there is no best approach for all patients with vesicovaginal fistula. However, it is an essential surgical principle that the fistulous tract and scar should be excised completely. Here we report our technique using a transurethral pointed electrode for the treatment of multiple, small vesicovaginal fistulas and its outcome.
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| Vesicovaginal Fistula Repair Using a Transurethral Pointed Electrode. | | | Hye Min Hong, Jea Whan Lee, Dong Youp Han, Hee Jong Jeong | | Department of Urology, Wonkwang University School of Medicine, Iksan, Korea. [email protected] | | | | | | | ABSTRACT | | The most common cause of vesicovaginal fistulasis injury to the bladder at the time of surgery. The operation most frequently responsible for vesicovaginal fistula formation is hysterectomy. The first successful transvaginal approach to vesicovaginal fistula repair was reported by Sims in 1838. Although many surgical procedures exist, there is no best approach for all patients with vesicovaginal fistula. However, it is an essential surgical principle that the fistulous tract and scar should be excised completely. Here we report our technique using a transurethral pointed electrode for the treatment of multiple, small vesicovaginal fistulas and its outcome. | | Keywords: Vesicovaginal fistula; Bladder; Electrodes | |

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