title: New surgical approach for treatment of complex vesicovaginal fistula.
abstract: 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.
authors.affiliation: Department of Urology, Hospital Clinic I Provincial, University of Barcelona, Spain.
authors.forename: J M
authors.initials: JM
authors.lastname: Gil-Vernet
authors.forename: A
authors.initials: A
authors.lastname: Gil-Vernet
authors.forename: J A
authors.initials: JA
authors.lastname: Campos
mesh_terms: 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*