Vaginal Approach to Vesicovaginal Fistula

Dominic Lee, Philippe E Zimmern

Research output: Contribution to journalReview article

Abstract

Vesicovaginal fistula is the most commonly encountered sequela of genitourinary trauma. Although the etiology differs between developed and developing countries, the principles of fistula repair must be strictly adhered to for success. Timing and route of repair remain contentious, because of a lack of randomized data. Evaluation and management is dictated by the surgeon's experience. Minimally invasive techniques with laparoscopy and robotic technology are generating wider interest with reduced postoperative morbidity, but a transvaginal technique should be in the arsenal of all pelvic reconstructive surgeons. More research is required to evaluate the optimal surgical route and technique for successful outcomes.

LanguageEnglish (US)
Pages123-133
Number of pages11
JournalUrologic Clinics of North America
Volume46
Issue number1
DOIs
StatePublished - Feb 1 2019

Fingerprint

Vesicovaginal Fistula
Robotics
Developed Countries
Laparoscopy
Developing Countries
Fistula
Technology
Morbidity
Wounds and Injuries
Research
Surgeons

Keywords

  • Minimally invasive
  • Outcomes
  • Surgical technique
  • Tissue interposition
  • Transvaginal approach
  • Vesicovaginal fistula

ASJC Scopus subject areas

  • Urology

Cite this

Vaginal Approach to Vesicovaginal Fistula. / Lee, Dominic; Zimmern, Philippe E.

In: Urologic Clinics of North America, Vol. 46, No. 1, 01.02.2019, p. 123-133.

Research output: Contribution to journalReview article

@article{7c52ba75fda34ec6b690d64ef5954feb,
title = "Vaginal Approach to Vesicovaginal Fistula",
abstract = "Vesicovaginal fistula is the most commonly encountered sequela of genitourinary trauma. Although the etiology differs between developed and developing countries, the principles of fistula repair must be strictly adhered to for success. Timing and route of repair remain contentious, because of a lack of randomized data. Evaluation and management is dictated by the surgeon's experience. Minimally invasive techniques with laparoscopy and robotic technology are generating wider interest with reduced postoperative morbidity, but a transvaginal technique should be in the arsenal of all pelvic reconstructive surgeons. More research is required to evaluate the optimal surgical route and technique for successful outcomes.",
keywords = "Minimally invasive, Outcomes, Surgical technique, Tissue interposition, Transvaginal approach, Vesicovaginal fistula",
author = "Dominic Lee and Zimmern, {Philippe E}",
year = "2019",
month = "2",
day = "1",
doi = "10.1016/j.ucl.2018.08.010",
language = "English (US)",
volume = "46",
pages = "123--133",
journal = "Urologic Clinics of North America",
issn = "0094-0143",
publisher = "W.B. Saunders Ltd",
number = "1",

}

TY - JOUR

T1 - Vaginal Approach to Vesicovaginal Fistula

AU - Lee, Dominic

AU - Zimmern, Philippe E

PY - 2019/2/1

Y1 - 2019/2/1

N2 - Vesicovaginal fistula is the most commonly encountered sequela of genitourinary trauma. Although the etiology differs between developed and developing countries, the principles of fistula repair must be strictly adhered to for success. Timing and route of repair remain contentious, because of a lack of randomized data. Evaluation and management is dictated by the surgeon's experience. Minimally invasive techniques with laparoscopy and robotic technology are generating wider interest with reduced postoperative morbidity, but a transvaginal technique should be in the arsenal of all pelvic reconstructive surgeons. More research is required to evaluate the optimal surgical route and technique for successful outcomes.

AB - Vesicovaginal fistula is the most commonly encountered sequela of genitourinary trauma. Although the etiology differs between developed and developing countries, the principles of fistula repair must be strictly adhered to for success. Timing and route of repair remain contentious, because of a lack of randomized data. Evaluation and management is dictated by the surgeon's experience. Minimally invasive techniques with laparoscopy and robotic technology are generating wider interest with reduced postoperative morbidity, but a transvaginal technique should be in the arsenal of all pelvic reconstructive surgeons. More research is required to evaluate the optimal surgical route and technique for successful outcomes.

KW - Minimally invasive

KW - Outcomes

KW - Surgical technique

KW - Tissue interposition

KW - Transvaginal approach

KW - Vesicovaginal fistula

UR - http://www.scopus.com/inward/record.url?scp=85056760557&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85056760557&partnerID=8YFLogxK

U2 - 10.1016/j.ucl.2018.08.010

DO - 10.1016/j.ucl.2018.08.010

M3 - Review article

VL - 46

SP - 123

EP - 133

JO - Urologic Clinics of North America

T2 - Urologic Clinics of North America

JF - Urologic Clinics of North America

SN - 0094-0143

IS - 1

ER -