Closure of neobladder-vaginal fistula in patient with studer neobladder using vaginal approach and interposition of Martius flap. Juan E. Hospital Vall d'Hebron. Palabras clave: Neovejiga.
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Closure of neobladder-vaginal fistula in patient with studer neobladder using vaginal approach and interposition of Martius flap. Juan E. Hospital Vall d'Hebron. Palabras clave: Neovejiga. Colgajo de Martius. Objective: We report a case of neobladder-vaginal fistula in a patient, and its closure using a Martius flap interposition.
Methods: A 51 year old patient required cystectomy and Studer's neobladder for invasive bladder adenocarcinoma. After urethral catheter removal she presented constant leakage and was diagnosed by cystoscopy of neobladder-vaginal fistula. Results: This complication was successfully treated using a vaginal approach with closure in two layers and interposition of a Martius flap. Conclusions: Neobladder is a rare indication in women, as it is the eventuality of presenting this type of fistula.
The adequate approach to treat it is still controversial. In our experience and after reviewing literature we think vaginal closure using a Martius flap interposition is a good technique to treat a neobladder-vaginal fistula. Key words: Neobladder.
Martius flap. The ileal S-pouch for bladder replacement after cystectomy: preliminary report of 7 cases. J Urol ; Orthotopic bladder substitution in women: functional evaluation.
Management of neobladder-vaginal fistula and stress incontinence following radical cystectomy in women: a review. World J Urol ; Orthotopic lower urinary tract reconstruction in women using the Kock ileal neobladder: updated experience in 34 patients. Neobladder-vaginal fistula after cystectomy and orthotopic neobladder construction. BJU Int ; Critical evaluation of the problem of chronic urinary retention after orthotopic bladder substitution in women.
Preservation of the anterior vaginal wall during female radical cystectomy with orthotopic urinary diversion: technique and results. The ileal neobladder in women: 9 years of experience with 18 patients. Functional results of orthotopic ileal neobladder with serous-lined extramural ureteral reimplantation: experience with patients. Current techniques for vesicovaginal fistula repair: surgical pearls to optimize cure rate.
Curr Urol Rep ; Servicios Personalizados Revista.
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