title: Salvage repair of vesicovaginal fistula.
abstract: OBJECTIVE
  To present the long-term results of failed vesicovaginal fistula repair using flap splitting techniques.
  
  
  METHODS
  Nine women with a previous failed vesicovaginal fistula repair, aged 18 to 69 years, underwent salvage vaginal reconstruction for damaged urethra or bladder, at a five-year interval lasting from 2003 to 2007. Fistulas were repaired using an interposed pediculated vaginal wall flap.
  
  
  RESULTS
  The repair was successful in all the patients, even in those with rectovesicovaginal fistula or a large vesicovaginal fistula with sphincter damage.
  
  
  CONCLUSIONS
  Pediculated vaginal wall flap is an easily-prepared, well-vascularized tissue, which provides long-term favorable outcomes.
authors: Mashhad University of Medical Sciences, Mashhad, Iran. yarmohamadiaa@mums.ac.ir
authors: Aliasghar
authors: A
authors: Yarmohamadi
authors: Mohammad
authors: M
authors: Asl Zare
authors: Hassan
authors: H
authors: Ahmadnia
authors: Nasser
authors: N
authors: Mogharabian
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D008875:Middle Aged; D012074:Remission Induction; D013524:Surgical Flaps; D013997:Time Factors; D013520:Urologic Surgical Procedures / Q000379:methods; D014719:Vesicovaginal Fistula / Q000601:surgery*; D055815:Young Adult