OPTIMIZATION OF SURGICAL TREATMENT OF VESICOVAGINAL FISTULAS
https://doi.org/10.21886/2308-6424-2017-5-3-79-86
Abstract
Currently, urogenital fistulas are one of the most actual and socially significant problems of medicine. A common type of urogenital fistula is the vesicovaginal fistula. The most difficult for surgery treatment is postradiation vesicovaginal fistula, which appear after uncontrolled radiation exposure on the pelvic. This is due to decrease of tissue vascularization, the prevalence of fibrosis in the lamina, muscle tissue in the vaginal and bladder mucosa, chronic lymphocytic inflammation and hyperkeratosis which destroy epithelium. Conservative therapy of vesicovaginal is not usually effective and in rare case leads to fistula closure. Thus, surgical approach remains the accepted strategy for the treatment of vesicovaginal fistulas. This article contains the most actual literary data with optimal strategy for the treatment of vesicovaginal fistula.
About the Authors
V. L. Medvedev
Kuban State Medical University, Department of Urology; State Budgetary Healthcare Institution, Research Institute, Regional Clinic Hospital № 1. Department of Urology.
Russian Federation
Russian Federation
Medvedev Vladimir Leonidovich, doctor of Medicine, professor and Chairman Department of Urology Kuban State Medical University, head of the Urology and Nephrology Center, the Chief of the urological Service of Krasnodar Regional Hospital №1, chief specialist of transplantology of Krasnodar Region, chief of the Urology Department №2 of Krasnodar Regional Hospital №1.
Krasnodar.
A. M. Opol’skiy
State Budgetary Healthcare Institution, Research Institute, Regional Clinic Hospital № 1, Department of Urology.
Russian Federation
Russian Federation
Opol’skiy Artem Mikhaylovich, urologist of the Urology Department №2 of Krasnodar Regional Hospital №1.
Krasnodar.
References
1. Riley VJ. Vesicovaginal fi stula EMed WebMD, 2006. Available at http://emedicine.medscape.com/ar cle/267943overview Accessed June 6, 2017.
2. Ghoniem GM, Khater UM. Vesicovaginal fi stula, Pelvic fl oor dysfunc on. London:2006. Springer-Verlag; doi: 10.1007/978-1-84800-348-4_54
3. Gerber GS, Schoenberg HW. Female urinary tract fi stulae. J Urol 1993;149(2):229-36.doi: 10.1016/s00225347(17)36045-7
4. Falk HC, Tancer ML. Vesicovaginal fi stula; an historical survey. Obstet Gynecol. 1954;3(3):337-41.
5. Sims JM. On the treatment of vesico-vaginal fi stula. 1852. Int Urogynecol J Pelvic Floor Dysfunct. 1998. 9(4):236-48. doi: 10.1016/0002-9378(95)91434-X
6. Loran OB, Seregin AV, Dovlatov ZA. Principles of diagnosis and treatment of urogenital fi stulas in women (literature review). Consilium Medicum. 2015;17(7):12-15. (In Russ.)
7. Capes T, Ascher-Walsh C, Abdoulaye I, Brodman M. Obstetric fi stula in low and middle income countries. Mt Sinai J Med. 2011;78(3):352-61. doi: 10.1002/msj.20265
8. Ghoniem GM, Warda HA. The management of genitourinary fi stula in the third millennium. Arab J Urol. 2014;12(2):97-105. doi: 10.1016/j.aju.2013.11.006
9. Pushkar’ DYu, Rasner PI, Gvozdev MYu. Mochepolovye svishchi. Rus. med. zhurn. 2013;34:2-4. (In Russ.)
10. Symmonds RE, Williams TJ. Current status of genitourinary fi stula. Obstet Gynecol. 1988;72(3 Pt. 1):313-19. doi: 10.1016/0020-7292(89)90762-5
11. Eilber KS, Kavaler E, Rodriguez LV, Rosenblum N, Raz S. Tenyear experience with transvaginal vesicovaginal fi stula repair using ssue interposi on. J Urol. 2003;169(3):10336. doi: 10.1097/01.ju.0000049723.57485.e7
12. Zoubek J, McGuire EJ, Noll F, DeLancey JO. The late occurrence of urinary tract damage in pa ents successfully treated by radiotherapy for cervical carcinoma. J Urol. 1989;141(6):1347-1349. doi: 10.1016/s00225347(17)41303-6
13. Tancer ML. Observa ons on preven on and management of vesicovaginal fi stula a er total hysterectomy. Surg Gynecol Obstet. 1992;175(6):501-6. doi: 10.1097/00006254-199305000-00018
14. Gungorduk K, Asicioglu O, Celikkol O, Sudolmus S, Ark C. Iatrogenic bladder injuries during caesarean delivery: a case control study. J Obstet Gynaecol. 2010;30(7):66770. doi: 10.3109/01443615.2010.486086
15. Weidner N, Richard J, Suster S, Lawrence Weiss M. Modern Surgical Pathology, 2nd ed, 2009. doi: 10.1016/ b978-1-4160-3966-2.00003-5
16. Loran OB. Lechenie pozdnikh postluchevykh oslozhneniy so storony mochepolovoy sistemy. [Elektronnyy resurs]. Available at h p://emedicine.medscape.com/ ar cle/267943-overview Accessed June 6, 2017. (In Russ.)
17. Vishnevskaya EE, Kosenko IA. Otdalennye rezul’taty kompleksnoy terapii bol’nykh rakom sheyki matki s neblagopriyatnym prognozom. Voprosy onkologii. 1999;45(4):420-423. (In Russ.)
18. Capes T, Stanford EJ, Romanzi L, Foma Y, Moshier E. Comparison of two classifi ca on systems for vesicovaginal fi stula. Int Urogynecol J. 2012;23:1679-1685. doi: 10.1007/ s00192-012-1671-9
19. Goh JT. A new classifi ca on for female genital tract fi stula. Aust N Z J Obstet Gynaecol. 2004;44 (6):502-4. doi: 10.1111/j.1479-828X.2004.00315.x
20. Ghoniem MG, Warda АH. The management of genitourinary fi stula in the third millennium. Arab Journal of Urology. 2014;12(2):97-105. doi: 10.1016/j.aju.2013.11.006
21. Kursh ED. E ology, evalua on, and endoscopic management of vesicovaginal fi stulas. Female urology. Philadelphia; 1994.
22. Bansal MC, Patel J. Urogenital fi stulas. Available at: https://www.slideshare.net/drmcbansal/managementof-genitourinary-fistula accessed June 6, 2017.
23. Rovner ES. Urinary tract fi stulae. In: AJ Wein, editorin-chief, LR Kavoussi, AC Novick, AW Par n, CA Peters, editors. Campbell-Walsh Urology. 10th ed. Philadelphia, USA: Elsevier Saunders, 2012; p. 2222-52. doi: 10.1016/ b978-1-4160-6911-9.00077-3
24. Pushkar DY, Dyakov VV, Kasyan GR. Management of radia on-induced vesicovaginal fi stula. Eur Urol. 2009;55(1):131-137. doi: 10.1016/j.eururo.2008.04.044
25. Cardozo L, Staskin D. eds. Textbook of female urology and urogynecology, 2-volume set, second edi on. London: Informa Healthcare, 2006. doi: 10.3109/9781439807217
26. Latzko W. Postopera ve vesicovaginal fi stulas. Genesis and therapy. The American Journal of Surgery. 1942;58:211-28. doi: 10.1016/s0002-9610(42)90009-6
27. Ghoniem GM. Transvaginal repair of recurrent vesicovaginal fi stula u lizing suburethral sling and Mar us gra s. Video-Urology Times. 1992:5. Program 4
28. Chibber PJ, Navinchandra Shah H, Jain P. Laparoscopic O’Conor’s repair for vesico-vaginal and vesico-uterine fi stulae. BJU Int. 2005;96(1):183-186. doi: 10.1111/j.1464410X.2005.05592.x
29. Stolyarova IV, Vinokurov VL. Problemy bol’nykh posle lecheniya raka sheyki matki (profi lak ka i lechenie postluchevykh oslozhneniy). Prak cheskaya onkologiya. 2002;3(3):220-227. (In Russ.)
30. Loran OB, Gumin LM, Zaytsev AV, Lipskiyi VS. Vysokiy (kosoy) kol’pokleyzis v lechenii postradiatsionnykh puzyrnovlagalishchnykh svishchey. Urologiya. 2000;(4):41-42. (In Russ.)
31. Pushkar DY, Dyakov VV, Kasyan GR. Management of radia on-induced vesicovaginal fi stula. Eur Urol. 2009;55(1):131-137. doi: 10.1016/j.eururo.2008.04.044
Review
For citations:
Medvedev V.L., Opol’skiy A.M. OPTIMIZATION OF SURGICAL TREATMENT OF VESICOVAGINAL FISTULAS. Urology Herald. 2017;5(3):79-86. (In Russ.) https://doi.org/10.21886/2308-6424-2017-5-3-79-86
Views:
1001
Email this article 
