New surgical approach for treatment of complex vesicovaginal fistula.
Complex vesicovaginal fistulas still represent a management problem, since most of the cases have been operated on previously and because of the lack of a completely successful surgical technique. A new procedure for vesical autoplasty is presented. A flap is obtained from the posterosuperior bladder wall that slides down to cover large lesions, even in low capacity reservoirs. The technique has shown excellent long-term results in 42 consecutive complicated cases.
Gil-Vernet
J M
JM
Department of Urology, Hospital Clinic I Provincial, University of Barcelona, Spain.
Gil-Vernet
A
A
Campos
J A
JA
D000328:Adult; D005260:Female; D006801:Humans; D008875:Middle Aged; D013524:Surgical Flaps; D013536:Suture Techniques; D001743:Urinary Bladder / Q000601:surgery*; D014719:Vesicovaginal Fistula / Q000601:surgery*