The treatment of vesicovaginal fistula by endoscopic injection of fibrin glue.

Abstract

Creation of a vesicovaginal fistula (VVF) is a complication seen in a variety of patients from prolonged labour and elective hysterectomies to advanced gynaecological malignancies. Causing distressing symptoms such as a loss of continence and vulval excoriation, conventional teaching has always advocated an open surgical approach as described by Sims in 1852. This however may not be feasible in cases of advanced malignancy or attractive to the post-operative patient. In this article the case of a 46-year-old lady with a VVF following elective hysterectomy is discussed. She was successfully managed with endoscopic closure of her fistula with fibrin glue.

• Authors: Frank T D'Arcy, Syed Jaffry
• Journal: The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland (Surgeon) Vol. 8 Issue 3 Pg. 174-6 (Jun 2010) ISSN: 1479-666X [Print] Scotland
• PMID: 20400029 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright (c) 2009 Royal College of Surgeons of Edinburgh (Scottish charity number SC005317) and Royal College of Surgeons in Ireland. Published by Elsevier Ltd. All rights reserved.

Chemical References

• Fibrin Tissue Adhesive
• Tissue Adhesives

Topics

• Cystoscopy (methods)
• Female
• Fibrin Tissue Adhesive (administration & dosage)
• Follow-Up Studies
• Humans
• Injections, Intralesional
• Magnetic Resonance Imaging
• Middle Aged
• Tissue Adhesives (administration & dosage)
• Urography
• Vesicovaginal Fistula (diagnosis, drug therapy)