Surgical management of recurrent urethrovaginal fistula with a skin island flap

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064165%3A_____%2F19%3A10399144" target="_blank" >RIV/00064165:_____/19:10399144 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00216208:11110/19:10399144

Výsledek na webu

<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=rSYpP-bCtJ" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=rSYpP-bCtJ</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1007/s00192-019-03868-2" target="_blank" >10.1007/s00192-019-03868-2</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Surgical management of recurrent urethrovaginal fistula with a skin island flap

Popis výsledku v původním jazyce

Introduction and hypothesisA 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.MethodsThe 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 operationtransvaginal repair of a large recurrent urethrovaginal fistula using the skin island flap technique.ResultsThe video of the procedure shows how to address a recurrent urethrovaginal fistula by employing a skin flap. An examination during the patient&apos;s follow-up visit 3months later revealed excellent healing and persistent stress urinary incontinence (SUI). Sixmonths after the fistula repair, the patient underwent a bulking agent procedure.ConclusionsThe 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.

Název v anglickém jazyce

Surgical management of recurrent urethrovaginal fistula with a skin island flap

Popis výsledku anglicky

Introduction and hypothesisA 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.MethodsThe 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 operationtransvaginal repair of a large recurrent urethrovaginal fistula using the skin island flap technique.ResultsThe video of the procedure shows how to address a recurrent urethrovaginal fistula by employing a skin flap. An examination during the patient&apos;s follow-up visit 3months later revealed excellent healing and persistent stress urinary incontinence (SUI). Sixmonths after the fistula repair, the patient underwent a bulking agent procedure.ConclusionsThe 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.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30214 - Obstetrics and gynaecology

Projekt

—

Návaznosti

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Rok uplatnění

2019

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

International Urogynecology Journal

ISSN

0937-3462

e-ISSN

—

Svazek periodika

30

Číslo periodika v rámci svazku

5

Stát vydavatele periodika

GB - Spojené království Velké Británie a Severního Irska

Počet stran výsledku

3

Strana od-do

839-841

Kód UT WoS článku

000466445100023

EID výsledku v databázi Scopus

2-s2.0-85060736342