title: Conservative treatment of vesicovaginal fistulas by bladder drainage alone.
abstract: We describe 4 cases of conservative management of vesicovaginal fistulas occurring as a complication of abdominal and vaginal hysterectomy. In all cases treatment involved simple bladder drainage for periods ranging from 19 to 54 days. At follow-up all patients remained dry. Such spontaneous closure of vesicovaginal fistulas following adequate bladder drainage has not been previously reported.
authors.affiliation: Department of Urology, St Franciscus Hospital, Rotterdam, The Netherlands.
authors.forename: R J
authors.initials: RJ
authors.lastname: Davits
authors.forename: S I
authors.initials: SI
authors.lastname: Miranda
mesh_terms: D000328:Adult; D004322:Drainage; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects; D007431:Intraoperative Complications / Q000628:therapy; D008875:Middle Aged; D013997:Time Factors; D001743:Urinary Bladder; D014719:Vesicovaginal Fistula / Q000209:etiology / Q000628:therapy*