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Updated: Oct 21, 2025

Technical Aspects of the Mouse Aortocaval Fistula
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[VESICO-VAGINAL FISTULAS (VVF)].

Ben Valery Sionov1,2, Masha Ben Zvi3,2, Tarek Taha1,2

  • 1Department of Urologic Surgery, Edith Wolfson Medical Center, Holon.

Harefuah
|September 5, 2021
PubMed
Summary
This summary is machine-generated.

Early surgical repair of vesico-vaginal fistulas, a complication often resulting from pelvic surgery, leads to high success rates. This approach minimizes patient distress and potential complications, offering a prompt solution.

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Area of Science:

  • Urology
  • Gynecology
  • Surgical Innovation

Background:

  • Vesico-vaginal fistula (VVF) is a significant complication following pelvic surgery or prolonged childbirth.
  • Delayed diagnosis and treatment can lead to increased patient morbidity and medico-legal issues.
  • Current surgical approaches vary regarding the optimal timing for repair, with some advocating early intervention and others suggesting a delay for tissue healing.

Purpose of the Study:

  • To define the clinical manifestations of post-surgical vesico-vaginal fistulas.
  • To analyze factors influencing fistula development and repair outcomes.
  • To summarize institutional experience with early surgical intervention for VVF.

Main Methods:

  • Retrospective review of consecutive patients undergoing urogenital fistula repair.
  • Inclusion criteria focused on patients with isolated vesico-vaginal fistulas.
  • Data collected included demographics, surgical details, postoperative complications, and a minimum 3-month follow-up.

Main Results:

  • 37 patients with isolated vesico-vaginal fistulas were identified from 67 total urogenital fistula cases.
  • Iatrogenic injury during hysterectomy was the primary cause (70.3%).
  • The overall success rate for fistula repair was 92%, with 3 recurrences (2 in patients with prior radiation history).

Conclusions:

  • Early surgical repair of vesico-vaginal fistulas, performed promptly upon diagnosis, is effective.
  • Timely intervention can significantly reduce patient suffering and discomfort.
  • The study supports an early intervention strategy for managing vesico-vaginal fistulas.