title: [Treatment of urogenital fistula in women].
abstract: OBJECTIVE
  We aimed to assess the results of the genitourinary fistula cases intervened in our center in a ten year period.
  
  
  METHODS
  We evaluated the clinical data regarding genitourinary fistula from the medical records of 42 female patients who underwent surgery for this condition between May 2001 and June 2010. Age, previous medical history, diagnostic tools used, operative data and clinical outcomes of the patients were evaluated retrospectively.
  
  
  RESULTS
  The mean age of patients was 51 years. Of 42 patients, 28 had vesicovaginal, 11 had ureterovaginal, and 3 had vesicouterine fistulas. Etiology of vesicovaginal fistula was surgical trauma in 71,5% and obstetric trauma in 28,5% of the patients. O'Connor technique was performed as a single procedure in 12 vesicovaginal fistula cases, and ureteroneocystostomy was added in 3. Transvesical repair was performed in 9, and transvaginal repair in 3 of the patients. All of 11 patients with ureterovaginal fistula were of iatrogenic origin; ureteroneocystostomy was performed in 6, and Boari flap was performed in 5 of these patients. Three vesicouterine fistulas were repaired primarily. Success rates in vesicovaginal, ureterovaginal and vesicouterine fistulas were 96, 100 and 100 percent, respectively.
  
  
  CONCLUSIONS
  In experienced hands and according with the related basic surgical principles, operative treatment in genitourinary fistula represents an effective modality with high success rate.
authors.affiliation: Urology Clinics, Kartal Training and Research Hospital, Istanbul, Turkey.
authors.forename: C
authors.initials: C
authors.lastname: Göktaş
authors.forename: R
authors.initials: R
authors.lastname: Horuz
authors.forename: G
authors.initials: G
authors.lastname: Faydacı
authors.forename: A
authors.initials: A
authors.lastname: C Çetinel
authors.forename: O
authors.initials: O
authors.lastname: Akça
authors.forename: S
authors.initials: S
authors.lastname: Albayrak
mesh_terms: D000328:Adult; D000368:Aged; D003559:Cystostomy; D036861:Delivery, Obstetric / Q000009:adverse effects; D005260:Female; D052776:Female Urogenital Diseases / Q000601:surgery*; D005402:Fistula / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D010298:Parity; D011183:Postoperative Complications / Q000601:surgery; D011247:Pregnancy; D012086:Reoperation; D012189:Retrospective Studies; D013524:Surgical Flaps; D016896:Treatment Outcome; D014515:Ureteral Diseases / Q000601:surgery; D001747:Urinary Bladder Fistula / Q000601:surgery; D014548:Urinary Fistula / Q000601:surgery; D014591:Uterine Diseases / Q000601:surgery; D014719:Vesicovaginal Fistula / Q000601:surgery