The repair of vesicovaginal fistulas with omentum. A review of 59 cases.
The treatment of 59 consecutive vesicovaginal fistulas is described. Five patients were treated by simple vaginal repair; in 52 patients repair was carried out with the aid of an omental pedicle. Only 2 of these patients are not fully continent; 1 awaits further surgery and 1 has stress incontinence but refuses a further operation. A further 2 patients were treated by urinary diversion. The cure rate was 93%. The value of omentum in overcoming fibrosis and tissue loss is discussed.
D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008722:Methods; D008875:Middle Aged; D009852:Omentum / Q000637:transplantation*; D014719:Vesicovaginal Fistula / Q000601:surgery*