Postirradiation vesicovaginal fistula completely resolved with conservative treatment.
Postirradiation vesicovaginal fistulae (VVF) pose a great challenge for the urologist. The poorly vascularized radiated tissue surrounding the fistula impairs healing and makes operative repair technically demanding. Conservative treatment for postirradiation VVF is considered inappropriate, and to our knowledge has never previously been described. We present a case of a woman with postirradiation VVF that was resolved after transurethral coagulation and 3 weeks of catheterization.
Madjar
S
S
Department of Urology, University of Miami, Florida, USA.
Gousse
A
A
D001918:Brachytherapy / Q000009:adverse effects; D005260:Female; D006801:Humans; D008875:Middle Aged; D011832:Radiation Injuries / Q000628:therapy*; D011878:Radiotherapy / Q000009:adverse effects; D014549:Urinary Incontinence / Q000209:etiology; D002583:Uterine Cervical Neoplasms / Q000532:radiotherapy; D014719:Vesicovaginal Fistula / Q000150:complications / Q000628:therapy*