Stage-by-stage treatment of vesicovaginal fistula followed by orthotopic plastic surgery of the bladder and vagina with a small intestine

R.R. Pogosyan

Petrovsky Russian Research Center of Surgery, Moscow, Russia

T.Yu. Sych

V.P. Demikhov Municipal Clinical Hospital of the Moscow Healthcare Department, Moscow, Russia

M.I. Vasilchenko

Petrovsky Russian Research Center of Surgery, Moscow, Russia

I.V. Semenyakin

Petrovsky National Research Center of Surgery, Moscow, Russia

Stage-by-stage treatment of vesicovaginal fistula followed by orthotopic plastic surgery of the bladder and vagina with a small intestine

Authors:

R.R. Pogosyan, T.Yu. Sych, M.I. Vasilchenko, I.V. Semenyakin

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2020;(6): 121‑124

DOI: 10.17116/hirurgia2020061121

Downloaded: 113

To cite this article:

Pogosyan RR, Sych TYu, Vasilchenko MI, Semenyakin IV. Stage-by-stage treatment of vesicovaginal fistula followed by orthotopic plastic surgery of the bladder and vagina with a small intestine. Pirogov Russian Journal of Surgery. 2020;(6):121‑124. (In Russ., In Engl.)
https://doi.org/10.17116/hirurgia2020061121

Кардиологические дебаты — VI. Версия 2.0

Доказательная гастроэнтерология: pro et contra

Актуальные вопросы педиатрической практики

Использование инфографики авторами научных работ

Close metadata

High incidence of iatrogenic lesions of genitourinary system (during gynecological and oncogynecological operations) followed by urogenital fistulae and great percentage of recurrences after reconstructive surgery justify the need to improve surgical reconstruction of genitourinary organs and urine discharge in these patients. Stage-by-stage surgical treatment of a patient with extensive vesicovaginal fistula is reported in the article. A defect was associated with loss of 2/3 of the volume of tissues of adjacent organs. Multiple operations in various clinics were failed to eliminate the fistula and resulted decrease of bladder capacity up to microcystis.

Keywords:

vesicovaginal fistula

orthotopic repair of bladder

intestinal vaginoplasty

Authors:

R.R. Pogosyan

Petrovsky Russian Research Center of Surgery, Moscow, Russia

T.Yu. Sych

V.P. Demikhov Municipal Clinical Hospital of the Moscow Healthcare Department, Moscow, Russia

M.I. Vasilchenko

Petrovsky Russian Research Center of Surgery, Moscow, Russia

I.V. Semenyakin

Petrovsky National Research Center of Surgery, Moscow, Russia

List of references:

Ghoniem GM, Khater UM. London; 2006.
Voshchula VI, Nikitin DM Sovremennye aspekty lecheniya puzyrno-vlagalishchnykh svishchej. 2012;5(23):67-69. (In Russ.)
Pryanichnikova MB, Zhurkina OV, Chernyshev IV. Operativnoe lechenie mochepolovykh svishchej u zhenshchin. . 2016;4:37-39. (In Russ.)
Loran OB, Sinyakova LA, Tverdokhlebov NE, Dementyeva A. Lechenie bol’nykh so slozhnymi svishchami. 2008;8:45-47. (In Russ.)
Kan DV. M.: Meditsina; 1986. (In Russ.)
Loran OB, Gumin LM, Zaytsev AV, et al. Vysokij (kosoj) kol’pokleizis v lechenii postradiatsionnykh puzyrno-vlagalishchnykh svishchej. . 2000;4:41-42. (In Russ.)
Chapple C. Urethral diverticula, urethra-vaginal fistulae, vesico-vaginal fistulae. EAU Update Series 1. 2003:178-185.
Loran OB, Sinyakova LA, Seregin AV, Tverdokhlebov NE. Operativnoe lechenie bol’nykh so slozhnymi mochevymi svishchami. . 2010;5:76-79. (In Russ.)
Eliseev DE, Alekseev BYa, Kachmazov AA, et al. Optimizatsiya diagnostiki mochepolovykh i kishechno-vlagalishchnykh svishchej. 2017;4:82-90. (In Russ.)
Traore SI, Dembele O, Traore S, Diallo A, et al. Urogenital fistulas at Sikasso: about 150 cases. . 2019;33:133.

Close metadata