PURPOSE: To present the long-term results of failed vesicovaginal fistula repair using flap splitting techniques. MATERIALS AND METHODS: Nine women with a previous failed vesicovaginal fistula repair, aged 18 to 69 years, underwent salvage vaginal reconstruction for damaged urethra or bladder, at a five-year interval lasting from 2003 to 2007. Fistulas were repaired using an interposed pediculated vaginal wall flap. RESULTS: The repair was successful in all the patients, even in those with rectovesicovaginal fistula or a large vesicovaginal fistula with sphincter damage. CONCLUSION: Pediculated vaginal wall flap is an easily-prepared, well-vascularized tissue, which provides long-term favorable outcomes.
PURPOSE: To present the long-term results of failed vesicovaginal fistula repair using flap splitting techniques. MATERIALS AND METHODS: Nine women with a previous failed vesicovaginal fistula repair, aged 18 to 69 years, underwent salvage vaginal reconstruction for damaged urethra or bladder, at a five-year interval lasting from 2003 to 2007. Fistulas were repaired using an interposed pediculated vaginal wall flap. RESULTS: The repair was successful in all the patients, even in those with rectovesicovaginal fistula or a large vesicovaginal fistula with sphincter damage. CONCLUSION: Pediculated vaginal wall flap is an easily-prepared, well-vascularized tissue, which provides long-term favorable outcomes.
Authors: Susan H Oakley; Heidi W Brown; Joy A Greer; Monica L Richardson; Amos Adelowo; Ladin Yurteri-Kaplan; Fiona M Lindo; Kristie A Greene; Cynthia S Fok; Nicole M Book; Cristina M Saiz; Leon N Plowright; Heidi S Harvie; Rachel N Pauls Journal: Female Pelvic Med Reconstr Surg Date: 2014 Jan-Feb Impact factor: 2.091