GU Fistulæ

Vesicovaginal Fistulæ

Causes

VVF Prevention Principles During Pelvic Surgery

Diagnosis

Treatment

Flaps

Ureterovaginal Fistulæ

Presentation

Treatment

  • If ureter is patent, attempt stent placement (~50% closure rate)
  • If unable to stent, place nephrostomy tube and perform delayed repair (4-6 weeks) with reimplantation
  • Reimplant tips: preserve adventitial layer, tunneling not required
  • Success rate: 90% after formal repair
  • Ureterouterine or ureterofallopian fistulæ are rare
  • Other Female Fistulæ to Consider

    Vesicouterine Fistulæ

    Urethrovaginal Fistulæ

    Uroenteric Fistulæ

    Causes/Presentation

    Diagnosis

    Treatment

    Rectourethral fistulæ

    Causes/Presentation

    Treatment

    Vascular-Related Fistulæ

    Renovascular/Pyelovascular Fistulæ

    Ureterovascular Fistulæ

    General Tips/Thoughts

    References