No abstract available.
Vesicovaginal Fistula*

A clinical observation on the vesicovaginal fistula repair was done on 46 cases admitted to the Department of Urology, Keimyung University Hospital, during the period from 1971 through 1990. The incidence rare of recent 10 years has decreased in comparison with that of the previous 10 years without change of age distribution, size and location of vesicovaginal fistula. Success rate of vesivocaginal Fistula repair was 60%. 89% and 100% with suprapubic transvesical. transperitoneal transvesical and trensvaginal repair, respectively. Although the management of vesicovaginal fistula still remains controversial in regard to the timing of repair and type of approach, transvaginal approach has the distinct advantages of simplicity, ease and less morbidity. Transvaginal repair with jackknife position can be performed successfully by better exposure and easier access.
Age Distribution ; Fistula ; Incidence ; Urology ; Vesicovaginal Fistula*

A clinical survey was made on 11 cases of vesicovaginal fistula patient at the Department of Urology. Hanyang University Hospital during the period from May, 1972 to February, 1983. The results were as follows. 1. The prevalent age group of vesicovaginal fistula was 40's to 50's. 2. The common cause of vesicovaginal fistula was total hysterectomy (42.8%). 3. In 6 of 14 cases of vesicovaginal fistula, the duration between onset and repair of the fistula was 6 months of 1 1/2 years. 4. On the ordinary culture of urine, cases of growth of pathogenic organism were 8 in 14 cases (57.1%). 5. The common location of fistula opening was trigone (57.1%) and common size was less than 0.5cm in diameter (42.9%). 6. The surgical repair was performed in 11 patients. We obtained good result 5 in 8 cases (62.5%) of transvesical repair and 3 in 3 (100.0%) of transvaginal repair.
Fistula ; Humans ; Hysterectomy ; Urology ; Vesicovaginal Fistula*

A clinical survey was made on 11 cases of vesicovaginal fistula patient at the Department of Urology. Hanyang University Hospital during the period from May, 1972 to February, 1983. The results were as follows. 1. The prevalent age group of vesicovaginal fistula was 40's to 50's. 2. The common cause of vesicovaginal fistula was total hysterectomy (42.8%). 3. In 6 of 14 cases of vesicovaginal fistula, the duration between onset and repair of the fistula was 6 months of 1 1/2 years. 4. On the ordinary culture of urine, cases of growth of pathogenic organism were 8 in 14 cases (57.1%). 5. The common location of fistula opening was trigone (57.1%) and common size was less than 0.5cm in diameter (42.9%). 6. The surgical repair was performed in 11 patients. We obtained good result 5 in 8 cases (62.5%) of transvesical repair and 3 in 3 (100.0%) of transvaginal repair.
Fistula ; Humans ; Hysterectomy ; Urology ; Vesicovaginal Fistula*

A case of massive transvaginal eversion of urinary bladder through a large vesicovaginal fistula is reported. It has developed by spillage of hyprochloride on prolapse uteri and accompanied with rectovaginal fistula. Satisfactory surgical repair of the fistula was obtained by reduction of bladder and urethral reconstruction using anterior bladder wall.
Fistula ; Prolapse ; Rectovaginal Fistula ; Urinary Bladder* ; Uterus ; Vesicovaginal Fistula

Twenty-three cases of urinary fistulas which were admitted to the Department of Urology, Chosun University Hospital during the period from Jan. 1973 to Dec. 1979 were analysed clinically. The following results were obtained. 1. Eight cases of all fistulas were in men and 15 in women. 2. The most prevalent age group was 51 to 60 years. 3. The most commonly involved site was urethra (37.5%) and the most common fistula type wag vesicovaginal fistula (30.4%). 4. The most common etiology of vesicovaginal fistula was obstetric cause. 5. Seventeen of 23 urinary fistulas were operated upon and all but 3 were repaired successfully on the first surgical attempt.
Female ; Fistula ; Humans ; Male ; Urethra ; Urinary Fistula* ; Urology ; Vesicovaginal Fistula

The main cause of vesicovaginal fistula is gynecologic or obstetric manipulation, but vesicovaginal fistula as a complication of genitourinary tuberculosis is extremely rare. The diagnosis is confirmed by the histological findings, and treatment is surgical repair with antituberculous medication. We report here on the presentation and management of extensive tuberculosis that led to formation of a vesicovaginal fistula in an adult.
Adult ; Diagnosis ; Humans ; Tuberculosis ; Vesicovaginal Fistula*

The Omental is unique in that it is the only body tissue specially developed for the resolution of infected process; it also regain its suppleness once healing has taken place. These characteristics are not shared by the periurethral and perivesical tissues so that a properly mobilized pedicle graft is a valuable adjunct to the more difficult repairs and reconstructions of the urinary tract. Recently, author has experienced 4 cases of urinary tract reconstruction using omental pedicle graft, including 2 cases of complicated vesicovaginal fistula, a case of renal staghorn calculi and a case of multiple renal lacerations and the results were excellent.
Calculi ; Lacerations ; Transplants* ; Urinary Tract* ; Vesicovaginal Fistula

Recently vesicovaginal fistula is rare, but infrequently is found after pelvic surgery especially total hysterectomy for benign gynecologic diseases. In general, the correction of vesicovaginal fistula has been performed 3-4 months after the diagnosis. Recently, earlier correction of fistula was challenged. It has been reported that Latzko operation is a simple effective method for easy correction of vesicovaginal fistula in early correction. We experienced two successful cases of Latzko operation, which were performed as early as day 25 and 31 postoperatively.
Diagnosis ; Female ; Fistula ; Genital Diseases, Female ; Hysterectomy* ; Vesicovaginal Fistula*

Vesicovaginal fistula is a uncommon status in the developed countries. In the past it was mostly by obstetric causes. But now a days, posthysterectomy fistulas are seen. Fistula is a discomfort to the patient because of urine leakage, odor, and its inconvenience. We have experienced one case of fistula after abdominal hysterectomy and have repaired it by Latzko partial colpocleisis. So we report a case with some references.
Developed Countries ; Fistula ; Humans ; Hysterectomy ; Odors ; Vesicovaginal Fistula*