Vesikovaginale Fisteln - Diagnostik und operatives Management
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Vesikovaginale Fisteln - Diagnostik und operatives Management. / Marks, P; Kluth, L A; Lang, I J; Fisch, M.
In: UROLOGE, Vol. 59, No. 4, 04.2020, p. 432-441.Research output: SCORING: Contribution to journal › SCORING: Review article › Research
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TY - JOUR
T1 - Vesikovaginale Fisteln - Diagnostik und operatives Management
AU - Marks, P
AU - Kluth, L A
AU - Lang, I J
AU - Fisch, M
PY - 2020/4
Y1 - 2020/4
N2 - Vesicovaginal fistulas (VVF) represent a detrimental condition causing psychological, physical and social strain on patients. In developed countries they are predominantly the result of pelvic surgery or radiation therapy, whilst obstetric VVF are common in developing countries due to prolonged and complicated births. The majority of VVF require surgical therapy, thus a comprehensive diagnostic workup is needed. Depending on diagnostic characteristics fistula repair can be performed by a transvaginal, transabdominal or minimally invasive approach. Timing of surgery, appropriate interposition of vascularized grafts, optimized postoperative management and surgical expertise are determining factors for successful treatment. This review describes the diagnostic workup and therapeutic management of VVF including various surgical techniques.
AB - Vesicovaginal fistulas (VVF) represent a detrimental condition causing psychological, physical and social strain on patients. In developed countries they are predominantly the result of pelvic surgery or radiation therapy, whilst obstetric VVF are common in developing countries due to prolonged and complicated births. The majority of VVF require surgical therapy, thus a comprehensive diagnostic workup is needed. Depending on diagnostic characteristics fistula repair can be performed by a transvaginal, transabdominal or minimally invasive approach. Timing of surgery, appropriate interposition of vascularized grafts, optimized postoperative management and surgical expertise are determining factors for successful treatment. This review describes the diagnostic workup and therapeutic management of VVF including various surgical techniques.
KW - Female
KW - Humans
KW - Hysterectomy
KW - Reconstructive Surgical Procedures/methods
KW - Surgical Flaps
KW - Urogenital Surgical Procedures/methods
KW - Urologic Surgical Procedures/methods
KW - Vesicovaginal Fistula/diagnosis
U2 - 10.1007/s00120-020-01155-3
DO - 10.1007/s00120-020-01155-3
M3 - SCORING: Review
C2 - 32270241
VL - 59
SP - 432
EP - 441
JO - UROLOGE
JF - UROLOGE
SN - 0340-2592
IS - 4
ER -