Retropubic repair of genitourinary fistula using a free supporting graft.
OBJECTIVE
To report the repair of genitourinary fistulae using a retropubic extraperitoneal transvesical approach using a support graft (free graft) from the anterior abdominal wall fat.


METHODS
In all, 26 women with genitourinary fistulae (25 with vesicovaginal and one uterovesical) were operated using the free graft method.


RESULTS
All patients had no leakage after surgery; while 15 developed urgency three had recurrent urinary tract infection and one developed a small bladder capacity.


CONCLUSIONS
This operation has the advantages of a short operative duration, an easy technique and fewer postoperative complications with a high success rate.
el-Lateef Moharram
A A
AA
Department of Urology, Cairo University, Cairo, Egypt. moharramaaahmed@yahoo.com
el-Raouf
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MA
D005260:Female; D006801:Humans; D011183:Postoperative Complications; D013524:Surgical Flaps; D014515:Ureteral Diseases / Q000601:surgery; D001747:Urinary Bladder Fistula / Q000601:surgery; D014548:Urinary Fistula / Q000601:surgery; D014549:Urinary Incontinence / Q000209:etiology; D014552:Urinary Tract Infections / Q000209:etiology; D014719:Vesicovaginal Fistula / Q000601:surgery*