title: [Complexity-oriented surgical strategies in vesicovaginal fistulas].
abstract: Since 1975 a total of 55 patients with vesicovaginal fistulas have undergone surgery at the Clinic of Urology, University of Saarland, Homburg/Saar. A majority (55%) of the cases were complicated. In 9 cases supravesical urinary diversion was necessary. Successful closure of the fistula was achieved in 45 patients (81.8%); only in one case is the fistula still present. In 5 patients with uncomplicated fistulas successful closure was accomplished by a vaginal approach. In the presence of complications, e.g., previous radiotherapy or accompanying lesions of the ureter or rectum, a transvesical/transabdominal approach was preferred; surgery was successful in 93.3% of such cases.
authors.affiliation: Urologische Klinik und Poliklinik, Universität des Saarlandes, Homburg/Saar.
authors.forename: P
authors.initials: P
authors.lastname: Langenscheidt
authors.forename: G J
authors.initials: GJ
authors.lastname: Mast
authors.forename: E
authors.initials: E
authors.lastname: Becht
authors.forename: M
authors.initials: M
authors.lastname: Ziegler
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology*; D012006:Rectovaginal Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D012008:Recurrence; D001743:Urinary Bladder / Q000601:surgery; D014567:Urography; D014621:Vagina / Q000601:surgery; D014719:Vesicovaginal Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*
vernacular_title: Komplexitätsorientierte Operationsstrategien bei vesiko-vaginalen Fisteln.