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Vesicovaginal Fistula

An abnormal anatomical passage between the URINARY BLADDER and the VAGINA.
Also Known As:
Vesico-Vaginal Fistula; Vesico-Vaginal Fistulae; Vesicovaginal Fistulae; Fistula, Vesico-Vaginal; Fistula, Vesicovaginal; Fistulae, Vesico-Vaginal; Fistulae, Vesicovaginal; Fistulas, Vesico-Vaginal; Fistulas, Vesicovaginal; Vesico Vaginal Fistula; Vesico Vaginal Fistulae; Vesico-Vaginal Fistulas; Vesicovaginal Fistulas
Networked: 531 relevant articles (13 outcomes, 17 trials/studies)

Relationship Network

Disease Context: Research Results

Related Diseases

1. Uterine Cervical Neoplasms (Cancer of the Cervix)
2. Colic (Abdominal Cramps)
3. Psychological Trauma
4. Fistula
5. Pathologic Constriction (Stenosis)

Experts

1. Wall, L Lewis: 6 articles (10/2021 - 01/2002)
2. Futyma, Konrad: 3 articles (01/2021 - 10/2012)
3. Paraiso, Marie Fidela R: 3 articles (08/2007 - 12/2002)
4. Dargent, D: 3 articles (10/2005 - 07/2001)
5. Mathevet, P: 3 articles (10/2005 - 07/2001)
6. Dorairajan, Lalgudi Narayanan: 2 articles (01/2022 - 01/2008)
7. Modi, Pranjal: 2 articles (10/2021 - 02/2010)
8. Streit-Ciećkiewicz, Dominika: 2 articles (01/2021 - 12/2019)
9. Bora, Girdhar S: 2 articles (01/2020 - 06/2017)
10. Greenwell, Tamsin: 2 articles (01/2020 - 01/2019)

Drugs and Biologics

Drugs and Important Biological Agents (IBA) related to Vesicovaginal Fistula:
1. Methylene Blue (Methylthioninium Chloride)FDA Link
10/30/2020 - "The presence of a vesicovaginal fistula was excluded by testing with methylene blue. "
03/12/1994 - "The symptoms suggested a vesico-vaginal fistula but no abnormalities could be detected vaginally and the methylene-blue test was negative. "
12/01/2016 - "During a campaign of obstetric fistulas repair, we diagnosed ureterovaginal fistulas by vaginal exam with the blue methylene test associated to abdominal ultrasonography, two simple and non-expensive explorations which permitted to identify ureterovaginal fistula and to do differential diagnosis with vesicovaginal fistula. "
12/01/2022 - "Key strategies for a successful outcome include: use of a Carter-Thomason device for suprapubic assistance in lieu of suprapubic trocar or suprapubic incision, use of rigid biopsy forceps for improved traction on the eroded suture, performing a methylene blue test for evaluation of vesicovaginal fistula after excision procedure. "
03/01/2020 - "We performed a robotic approach to vesicovaginal fistula with several key steps to repair the fistula and maintain the integrity of the abdominopelvic structures: (1) careful bowel adhesiolysis involving multiple segments of the intestine to the abdominal and pelvic peritoneum; (2) cystotomy with vaginal probe guidance; (3) fistulectomy by monopolar scissors after ureteral orifice visualization; (4) dissection of the retropubic space of Retzius, relieving bladder tension; (5) transverse sutures to coapt the raw surfaces on the vaginal side and the bladder in 2 layers with minimal tension; and (6) transurethral instillation of methylene blue into the bladder. "
2. Pregnenolone Carbonitrile (PCN)IBA
3. Lidocaine (Xylocaine)FDA LinkGeneric
4. Fibrin Tissue Adhesive (Fibrin Sealant)IBA
5. Anti-Bacterial Agents (Antibiotics)IBA
6. SilkFDA Link
7. PropylthiouracilFDA Link
8. PlasticsIBA
9. RadiumIBA
10. SolutionsIBA

Therapies and Procedures

1. Radiotherapy
2. Urinary Diversion (Ileal Conduit)
3. Hysterectomy
4. Sutures (Suture)
5. Surgical Instruments (Clip)
10/01/2021 - "Marion Sims (1813-1883) is known for developing the first consistently successful operation for the repair of vesico-vaginal fistula, for inventing the Sims vaginal speculum, and for popularizing the left lateral decubitus position for gynecological examination and treatment. "
10/01/2020 - "Laparoscopic transvesical vesicovaginal fistula repair with the least invasive way: Only three trocars and a limited posterior cystotomy."
04/01/2022 - "In this report, we present a patient with iatrogenic VVF on whom we applied a novel "zero-incision" technique, Natural Orifice Transurethral Endoscopic Vesicovaginal Fistula (NOTE-VVF) treatment, to repair the fistula tract by advancing the laparoscopic trocar through a natural orifice, i.e., urethra."
01/01/2022 - "The challenges associated with them were non-capacious rigid vagina, irradiated and inflamed surrounding tissues, inelasticity, long-standing fistula with radiation-induced vesicovaginal fistula(VVF), an iatrogenic urethrovaginal fistula with anterior vaginal wall loss with vaginal stenosis, and a case of vesicolabial fistula with a history of forceps delivery and transvaginal VVF repair. "
01/01/2020 - "His technique for vesico-vaginal fistula repair included six essential steps that are still recognizable today: (1) use of the lithotomy position; (2) exposure of the fistula with a speculum; (3) sharp paring of the fistula edge prior to attempted closure; (4) careful approximation of the denuded edges of the fistula; (5) dressing of the wound with absorbent vaginal packing; (6) immobilization of the patient in bed until the repair has healed. "