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Vesico-vaginal fistula: new perspectives
1Royal Victoria Infirmary, University of Newcastle upon Tyne, Newcastle upon Tyne, UK. paul.hilton@ncl.ac.uk
Current Opinion in Obstetrics & Gynecology
|September 8, 2001
Summary
This review summarizes recent literature on vesico-vaginal fistulae (VVF), covering causes, spread, diagnosis, and treatment options. It discusses surgical approaches and medicolegal issues in developed countries.
Area of Science:
- Urology
- Gynecology
- Surgical Science
Background:
- Vesico-vaginal fistulae (VVF) represent a significant reconstructive challenge.
- Recent advancements in surgical techniques and understanding of etiology necessitate a review of current literature.
Purpose of the Study:
- To review and synthesize recent (2-year) literature on vesico-vaginal fistulae (VVF).
- To critically assess major publications on VVF etiology, epidemiology, assessment, and management.
- To provide expert opinion on the significance of recent contributions and topical issues in VVF management.
Main Methods:
- Comprehensive literature search of publications within the past two years.
- Analysis of major contributions concerning VVF aetiology, epidemiology, assessment, and management.
- Inclusion of medicolegal aspects relevant to VVF in developed countries.
Main Results:
- Key publications on VVF etiology and epidemiology have been identified.
- Current assessment and management strategies, including surgical approaches, are highlighted.
- The value of interposition grafting and diversionary procedures remain areas of active discussion.
Conclusions:
- Recent literature provides valuable insights into VVF management.
- Surgical route, interposition grafting, and diversionary procedures are critical considerations.
- Medicolegal factors significantly influence VVF management strategies in developed nations.