REPARACIÓN VÍA VAGINAL DE LA FÍSTULA VESICO-VAGINAL (FVV): EXPERIENCIA EN UN CENTRO DE ATENCIÓN TERCIARIA EN VENEZUELA

Espinoza Alessandri R., Cardozo Andy, Rojas Carlos, Petit Miriam, López Vanda

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Archivos Españoles de Urología ›› 2019, Vol. 72 ›› Issue (4) : 398-405.
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REPARACIÓN VÍA VAGINAL DE LA FÍSTULA VESICO-VAGINAL (FVV): EXPERIENCIA EN UN CENTRO DE ATENCIÓN TERCIARIA EN VENEZUELA

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Abstract

Vesico-vaginal fistula (VVF) is a patholo-gy with serious social repercussions; its resolution can be achieved through multiple surgical, abdominal or vaginal techniques, the choice of which will generally depend on the characteristics of the fistula and the expe-rience of the surgeon.OBJETIVE: We describe our experience with vaginal approach to treat VVF using different flap interpositions. METHODS: A retrospective review of the charts of VVF patients attended at University Hospital of Caracas(UHC) during the 2009 - 2016 period was undertaken. The follow up period ranged from 3 months to 7 years, with an average of 2 years and 6 months. RESULTS: Of a total of 22 cases of VVF, most had a single orifice, retrotrigonal position, with an average di-ameter of 9.5 mm. A peritoneal flap was used in 77.27 % of the cases, Martius flap in 13.63 %, and omen-tum and vaginal mucosa each in 4.54 % of the cases. Success rate was 90.91%. Failure occurred in 2 cases (9.09%), due to relapse of the pathology. Morbidity rate was 13.64%, mainly due to urinary tract infections. CONCLUSION: The vaginal technique for the treatment of VVF is safe and effective with low recurrence rate and complications.

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Vesico-vaginal fístula / Vaginal surgery / Flap

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Espinoza Alessandri R. , Cardozo Andy , Rojas Carlos , Petit Miriam , López Vanda. REPARACIÓN VÍA VAGINAL DE LA FÍSTULA VESICO-VAGINAL (FVV): EXPERIENCIA EN UN CENTRO DE ATENCIÓN TERCIARIA EN VENEZUELA. Archivos Españoles de Urología. 2019, 72(4): 398-405

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