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Updated: May 29, 2026
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Salvage repair of vesicovaginal fistula
Aliasghar Yarmohamadi1, Mohammad Asl Zare, Hassan Ahmadnia
1Mashhad University of Medical Sciences, Mashhad, Iran. yarmohamadiaa@mums.ac.ir
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.
