Vesicovaginal fistula repair experiences in a single center high volume of 33 years and necessity of cystostomy
Yıl: 2021 Cilt: 47 Sayı: 1 Sayfa Aralığı: 66 - 72 Metin Dili: İngilizce DOI: 10.5152/tud.2020.20080 İndeks Tarihi: 17-06-2022
Vesicovaginal fistula repair experiences in a single center high volume of 33 years and necessity of cystostomy
Öz: Objective: The aim of this study was to retrospectively examine the patients who underwent surgical treatment for vesicovaginal fistula (VVF) repair in our clinic, to evaluate our surgical preferences, success, and
treatment results, to compare these with the literature, and firstly to reveal the necessity of cystostomy and
its effect on treatment success.
Material and methods: Between 1985 and 2018, a retrospective evaluation was performed on the records
of 102 patients who underwent surgical treatment for VVF repair. All cases underwent a detailed physical
examination and had their routine laboratory tests and imaging methods. In obese patients, a Foley catheter
was moved into the bladder through the fistula tract, then inflated in order to push the vagina and bladder
wall upwards. A transurethral catheter was used in all cases, and cystostomy was used in 58 (56.9%).
Results: The most common cause was prior hysterectomy for benign diseases in 35 (34.31%) cases. Among
a total of 102 cases with for VVF, 95 (93.1%) were primary, 5 (4.9%) secondary, and 2 (1.9%) tertiary. The
transvesical and O’Connor approaches (transabdominal) were performed in 61 (59.8%) and 41 (40.2%) cases,
respectively. Transvaginal approach was not used in any of the cases. Cystostomy was applied in 58 (56.9%)
of cases and not applied in 44 (43.1%).
Conclusion: Complete excision of the fistula tract and sealing of the layers separately using the water-tight
technique are extremely crucial factors to increase the success rate of VVF repair. In cases where good
transurethral drainage is ensured, cystostomy is unnecessary and may increase the risk of infection.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA | ÖZKAYA F, AKSOY Y, ADANUR Ş, Polat Ö, ÖZBEY İ, CİNİSLİOĞLU A, Demirdöğen Ş, TOPDAĞI YILMAZ E (2021). Vesicovaginal fistula repair experiences in a single center high volume of 33 years and necessity of cystostomy. , 66 - 72. 10.5152/tud.2020.20080 |
Chicago | ÖZKAYA Fatih,AKSOY YILMAZ,ADANUR ŞENOL,Polat Özkan,ÖZBEY İsa,CİNİSLİOĞLU AHMET EMRE,Demirdöğen Şaban Oğuz,TOPDAĞI YILMAZ Emsal Pınar Vesicovaginal fistula repair experiences in a single center high volume of 33 years and necessity of cystostomy. (2021): 66 - 72. 10.5152/tud.2020.20080 |
MLA | ÖZKAYA Fatih,AKSOY YILMAZ,ADANUR ŞENOL,Polat Özkan,ÖZBEY İsa,CİNİSLİOĞLU AHMET EMRE,Demirdöğen Şaban Oğuz,TOPDAĞI YILMAZ Emsal Pınar Vesicovaginal fistula repair experiences in a single center high volume of 33 years and necessity of cystostomy. , 2021, ss.66 - 72. 10.5152/tud.2020.20080 |
AMA | ÖZKAYA F,AKSOY Y,ADANUR Ş,Polat Ö,ÖZBEY İ,CİNİSLİOĞLU A,Demirdöğen Ş,TOPDAĞI YILMAZ E Vesicovaginal fistula repair experiences in a single center high volume of 33 years and necessity of cystostomy. . 2021; 66 - 72. 10.5152/tud.2020.20080 |
Vancouver | ÖZKAYA F,AKSOY Y,ADANUR Ş,Polat Ö,ÖZBEY İ,CİNİSLİOĞLU A,Demirdöğen Ş,TOPDAĞI YILMAZ E Vesicovaginal fistula repair experiences in a single center high volume of 33 years and necessity of cystostomy. . 2021; 66 - 72. 10.5152/tud.2020.20080 |
IEEE | ÖZKAYA F,AKSOY Y,ADANUR Ş,Polat Ö,ÖZBEY İ,CİNİSLİOĞLU A,Demirdöğen Ş,TOPDAĞI YILMAZ E "Vesicovaginal fistula repair experiences in a single center high volume of 33 years and necessity of cystostomy." , ss.66 - 72, 2021. 10.5152/tud.2020.20080 |
ISNAD | ÖZKAYA, Fatih vd. "Vesicovaginal fistula repair experiences in a single center high volume of 33 years and necessity of cystostomy". (2021), 66-72. https://doi.org/10.5152/tud.2020.20080 |
APA | ÖZKAYA F, AKSOY Y, ADANUR Ş, Polat Ö, ÖZBEY İ, CİNİSLİOĞLU A, Demirdöğen Ş, TOPDAĞI YILMAZ E (2021). Vesicovaginal fistula repair experiences in a single center high volume of 33 years and necessity of cystostomy. Turkish Journal of Urology, 47(1), 66 - 72. 10.5152/tud.2020.20080 |
Chicago | ÖZKAYA Fatih,AKSOY YILMAZ,ADANUR ŞENOL,Polat Özkan,ÖZBEY İsa,CİNİSLİOĞLU AHMET EMRE,Demirdöğen Şaban Oğuz,TOPDAĞI YILMAZ Emsal Pınar Vesicovaginal fistula repair experiences in a single center high volume of 33 years and necessity of cystostomy. Turkish Journal of Urology 47, no.1 (2021): 66 - 72. 10.5152/tud.2020.20080 |
MLA | ÖZKAYA Fatih,AKSOY YILMAZ,ADANUR ŞENOL,Polat Özkan,ÖZBEY İsa,CİNİSLİOĞLU AHMET EMRE,Demirdöğen Şaban Oğuz,TOPDAĞI YILMAZ Emsal Pınar Vesicovaginal fistula repair experiences in a single center high volume of 33 years and necessity of cystostomy. Turkish Journal of Urology, vol.47, no.1, 2021, ss.66 - 72. 10.5152/tud.2020.20080 |
AMA | ÖZKAYA F,AKSOY Y,ADANUR Ş,Polat Ö,ÖZBEY İ,CİNİSLİOĞLU A,Demirdöğen Ş,TOPDAĞI YILMAZ E Vesicovaginal fistula repair experiences in a single center high volume of 33 years and necessity of cystostomy. Turkish Journal of Urology. 2021; 47(1): 66 - 72. 10.5152/tud.2020.20080 |
Vancouver | ÖZKAYA F,AKSOY Y,ADANUR Ş,Polat Ö,ÖZBEY İ,CİNİSLİOĞLU A,Demirdöğen Ş,TOPDAĞI YILMAZ E Vesicovaginal fistula repair experiences in a single center high volume of 33 years and necessity of cystostomy. Turkish Journal of Urology. 2021; 47(1): 66 - 72. 10.5152/tud.2020.20080 |
IEEE | ÖZKAYA F,AKSOY Y,ADANUR Ş,Polat Ö,ÖZBEY İ,CİNİSLİOĞLU A,Demirdöğen Ş,TOPDAĞI YILMAZ E "Vesicovaginal fistula repair experiences in a single center high volume of 33 years and necessity of cystostomy." Turkish Journal of Urology, 47, ss.66 - 72, 2021. 10.5152/tud.2020.20080 |
ISNAD | ÖZKAYA, Fatih vd. "Vesicovaginal fistula repair experiences in a single center high volume of 33 years and necessity of cystostomy". Turkish Journal of Urology 47/1 (2021), 66-72. https://doi.org/10.5152/tud.2020.20080 |