Send article

Fístulas Vesicovaginales

Authors

  • Juan Pablo Valdevenito S Hospital Clínico Universidad de Chile. Servicio de Urología.
  • Miguel Angel Cuevas T. Hospital Clínico Universidad de Chile. Servicio de Urología.
  • Raul Valdevenito S. Hospital Clínico Universidad de Chile. Servicio de Urología.
  • Roberto Vargas O. Hospital Clínico Universidad de Chile. Servicio de Urología.
  • Pablo Díaz M. Hospital Clínico Universidad de Chile. Servicio de Urología.
  • Mauricio Olea C. Hospital Clínico Universidad de Chile. Servicio de Urología.
Vol. 12 No. 3 (2001)
https://doi.org/10.5354/2735-7996.2001.79763
Download

Abstract

Objective: Analize our experience with vesicovaginal fistulas (WF) regarding etiology, diagnosis, surgical treatment and postoperative complications. Material and method: Descriptive, retrospective study of patients hospitalized with the diagnosis of VVF between January 1987 and December 2000: 35 patients, average age 47 years. 22,8% with previous reparative surgery in other hospital. Results: Diagnosis was made by urinary leakage through vagina and positive metilene blue bladder test. Cistoscopy was conclusive in 94,3% requiring urethrocistography the other cases. There was no association with uretero-vaginal fistulas. They were secondary to gynecobstetric surgery (82, 1 %) and radiotherapy for cervix cancer (17, 1 %). Thirty four patients were operated. We divided the results in: a) VVF secondary to gynecobstetric surgery: 28 transvesical approach, with 4 relapses and 1 supravesical approach that didn't relapse. b) WF secondary to radiotherapy far cervix cancer: 3 urinary diversions (2 continent neobiadders and 1 iieai conduit) and 2 supravesicai approach that reiapsed. There was no operative mortaiity. Conciusions: All VVF were secondary to gynecobstetric procedures. We prefer the transvesical approach with over 85% success rate. VVF secondary to radiotherapy represented a very complex condition with poor surgical results unless urinary diversion was used.

Keywords:

Fístula Vesicovaginal/diagnóstico , Fístula Vesicovaginal/cirugía , Fístula Vesicovaginal/complicaciones , Procedimientos Quirúrgicos Urogenitales , Complicaciones Posoperatorias
Altmetrics
How to Cite
Valdevenito S, J. P. ., Cuevas T., M. A. ., Valdevenito S., R. ., Vargas O., R. ., Díaz M., P. ., & Olea C., M. . (2001). Fístulas Vesicovaginales. Revista Hospital Clínico Universidad De Chile, 12(3), pp. 197–203. https://doi.org/10.5354/2735-7996.2001.79763
ACM ACS APA ABNT Chicago Harvard IEEE MLA Turabian Vancouver
Endnote/Zotero/Mendeley (RIS) BibTeX
 
Revista Hospital Clínico Universidad de Chile
Hospital Clínico Universidad de Chile
Universidad de Chile
DATOS DE INVESTIGACIÓN
Dirección de Servicios de Información y Bibliotecas (SISIB)