Surgical management of recurrent urethrovaginal fistula with a skin island flap
Jazyk angličtina Země Velká Británie, Anglie Médium print-electronic
Typ dokumentu kazuistiky, časopisecké články, audiovizuální média
Grantová podpora
UNCE 204024
This work was supported by Charles University in Prague - International
PubMed
30685786
DOI
10.1007/s00192-019-03868-2
PII: 10.1007/s00192-019-03868-2
Knihovny.cz E-zdroje
- Klíčová slova
- Native tissue repair, Skin flap, Urethrovaginal fistula,
- MeSH
- lidé MeSH
- močové píštěle patologie chirurgie MeSH
- recidiva MeSH
- senioři MeSH
- stresová inkontinence moči chirurgie MeSH
- suburetrální pásky škodlivé účinky MeSH
- vaginální píštěl patologie chirurgie MeSH
- zákroky plastické chirurgie metody MeSH
- Check Tag
- lidé MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- audiovizuální média MeSH
- časopisecké články MeSH
- kazuistiky MeSH
INTRODUCTION AND HYPOTHESIS: A urethrovaginal fistula is a possible rare complication of tension-free vaginal tape procedures. Surgical management of these fistulas is sometimes complicated, and failure can occur. The operation is difficult when the defect between the urethra and the vagina is larger or scarred, so surgical intervention and the preferred technique are controversial. METHODS: The patient was referred to our department, where the first operation was performed to address the urethrovaginal fistula by the transvaginal and transabdominal approach with interposed omentum. This initial repair failed, resulting in a large urethrovaginal fistula with minimal redundant anterior vaginal wall to provide a tension-free closure. This video presentation describes the second operation-transvaginal repair of a large recurrent urethrovaginal fistula using the skin island flap technique. RESULTS: The video of the procedure shows how to address a recurrent urethrovaginal fistula by employing a skin flap. An examination during the patient's follow-up visit 3 months later revealed excellent healing and persistent stress urinary incontinence (SUI). Six months after the fistula repair, the patient underwent a bulking agent procedure. CONCLUSIONS: The skin island flap procedure allowed the larger defect to heal, though it did not address the SUI, which was later treated by application of a bulking agent.
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