Transvaginal repair of postcystectomy peritoneovaginal fistulae.
To our knowledge, peritoneovaginal fistula is a complication of cystectomy that has not been reported before. We describe 2 patients in whom a transvaginal approach using a Martius flap was utilized to repair persistent vaginal leakage after cystectomy. At a mean follow-up of 20 months, both patients are free from vaginal leakage and have no evidence of recurrent fistula. This approach offers a safe and effective way to repair a peritoneovaginal fistula in a cystectomy patient.
Department of Urology, University of Texas-Southwestern Medical School, Dallas, Texas 75390-9110, USA.
D S
DS
Blander
P E
PE
Zimmern
G E
GE
Lemack
A I
AI
Sagalowsky
D015653:Cystectomy; D005260:Female; D005402:Fistula / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D010532:Peritoneal Diseases / Q000209:etiology / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery*; D013524:Surgical Flaps; D016896:Treatment Outcome; D001749:Urinary Bladder Neoplasms / Q000601:surgery; D014621:Vagina / Q000601:surgery*; D019522:Vaginal Discharge / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D014624:Vaginal Fistula / Q000209:etiology / Q000601:surgery*