Treatment of vesicovaginal fistula by bladder mucosa autograft technique.
OBJECTIVE
We evaluated the efficacy of the bladder mucosa autograft technique in the treatment of vesicovaginal fistula.


METHODS
During 15 years, 80 women with vesicovaginal fistula after gynecologic surgery for benign disease were treated by interposition of a bladder mucosa autograft in the fistulous tract within 1-3 months of its genesis.


RESULTS
The success rate of this surgical intervention was 96.3%. There was no late failure.


CONCLUSIONS
Bladder mucosa autograft interposition seems to be an excellent therapy for closing vesicovaginal fistulas. It appears to be more physiologic and easier to perform when compared with other transabdominal techniques. Early intervention proved to be efficacious and to improve the woman's quality of life.
Brandt
F T
FT
Department of Urology, Universidade Federal de Pernambuco, Recife, Brazil.
Lorenzato
F R
FR
Albuquerque
C D
CD
D000328:Adult; D015331:Cohort Studies; D005260:Female; D006801:Humans; D008875:Middle Aged; D009092:Mucous Membrane / Q000637:transplantation; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D011446:Prospective Studies; D012086:Reoperation; D013536:Suture Techniques; D014182:Transplantation, Autologous; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000637:transplantation*; D014719:Vesicovaginal Fistula / Q000209:etiology / Q000601:surgery*