title: [Surgical repair of persistent ileal neobladder-vaginal fistula using gracilis muscular flap: a case report].
abstract: A 70-year-old woman was referred to our hospital with a complaint of persistent urinary leakage from an ileal neobladder-vaginal fistula. She already had undergone surgical repair for the fistula two times. The first repair was performed by a transperitoneal approach and the second was by a transvaginal approach, both of which were not successful. In our hospital, the fistula was closed with transvaginal approach and the gracilis muscle transposition technique was used for reinforcement. The present method is easy to perform and is a useful surgical technique for recurrent neobladder-vaginal fistula.
authors.affiliation: The Department of Urology, Hirosaki University, Graduate School of Medicine.
authors.forename: Akiko
authors.initials: A
authors.lastname: Okamoto
authors.forename: Takuya
authors.initials: T
authors.lastname: Koie
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Hashimoto
authors.forename: Noritaka
authors.initials: N
authors.lastname: Kamimura
authors.forename: Chikara
authors.initials: C
authors.lastname: Ohyama
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Ishimura
authors.forename: Satoshi
authors.initials: S
authors.lastname: Narita
mesh_terms: D000368:Aged; D039021:Colonic Pouches / Q000473:pathology*; D005260:Female; D006801:Humans; D013524:Surgical Flaps; D014548:Urinary Fistula / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods; D014624:Vaginal Fistula / Q000601:surgery*