1/14. hyperbaric oxygenation for rectovaginal fistula: a report of two cases.A rectovaginal fistula after delivery is a rare complication, and its management can become difficult if infection occurs. In two such cases, we administered hyperbaric oxygenation (HBO) treatment against complicated infections, and we obtained a good outcome in each case.- - - - - - - - - - ranking = 1keywords = fistula (Clic here for more details about this article) |
2/14. Interposition of fallopian salpinges in the treatment of sigmoidovaginal fistula, secondary to vaginal hysterectomy with failure of previous repair.A 50-year-old woman, para 4, suffering from uterine fibromatosis and recurrent menometrorrhagia, underwent vaginal hysterectomy with preservation of salpinges. About 15 days after surgery, hydrosoluble contrast enema showed sigmoidovaginal fistula; after about two months there was failure of surgery repair by the rectal endoscopic technique. A month later, we performed repair surgery by the abdominal approach interposing fallopian salpinges between the sigmoid and the vagina. About two months later, a enema showed absence of fistula and today the women is free from disease.- - - - - - - - - - ranking = 1.2keywords = fistula (Clic here for more details about this article) |
3/14. Diagnostic and therapeutic problems in a case of prenatally detected fetal hydrocolpos.We report on a female fetus with prenatally suspected hydrometrocolpos. Postnatal evaluation additionally revealed ambiguous genitalia, anorectal atresia, vertebral segmentation anomalies and congenital intestinal aganglionosis. colostomy was performed, but postoperative recovery was complicated by pulmonary hypertension and renal failure, resulting in death at day 18. Postmortem examination furthermore revealed a small ventricular septal defect, as well as rectovaginal and urethrovaginal fistulae, causing massive dilatation of the septated vagina (hydrocolpos). The possibility of an overlapping VACTERL and MURCS association is discussed.- - - - - - - - - - ranking = 0.2keywords = fistula (Clic here for more details about this article) |
4/14. Multifocal malignant melanoma arising in vesicovaginal melanosis.An 80-year-old white woman developed vulvar melanosis and malignant melanoma of the labia majora and clitoris and underwent a simple vulvectomy. She subsequently developed melanosis of the urinary bladder and presented 3 years later with multifocal malignant melanoma involving the vagina, urethra, and urinary bladder in a background of extensive melanosis with variable degrees of atypia. She underwent radical surgery but died 18 months later with liver metastases and liver failure. Malignant melanoma is uncommon in the vulva and vagina and is rare in the urinary bladder. This case illustrates the previously described association between melanosis and malignant melanoma. The unusual features are the widespread distribution of the melanosis (vagina and bladder) and the subsequent development of multifocal malignant melanoma.- - - - - - - - - - ranking = 296.27929287467keywords = vesicovaginal (Clic here for more details about this article) |
5/14. A secondary vaginal stone. A case report.A case is presented of a large calculus that was formed in the vagina of a 44-year-old woman within less than 4 months. Urinary salts from a vesico-vaginal fistula deposited around an inadvertently unremoved medical gauze.- - - - - - - - - - ranking = 0.2keywords = fistula (Clic here for more details about this article) |
6/14. Vaginal calculi associated with vesicovaginal fistulae.Three cases of endovaginal stones associated with vesicovaginal fistulae are described. One fistula was of congenital origin, and the other two were recurrent post-hysterectomy fistulae. Other possible causes of this unusual stone location are neurogenic bladder, ectopic ureteral orifice and vaginal outlet obstruction. The radiologic appearance and the surgical treatment of vaginal calculi are discussed.- - - - - - - - - - ranking = 1158.8315190314keywords = vesicovaginal fistula, vesicovaginal, fistula (Clic here for more details about this article) |
7/14. Stenosis and fistulae with neglected vaginal foreign bodies. A case report.foreign bodies present in the vagina for long periods of time are infrequent but potentially serious findings in adult women. Significant injury can occur to bowel, bladder or other pelvic structures. Repair of fistulae is delayed following removal of the foreign bodies until the chronic inflammation produced by the objects has resolved. Coexisting psychiatric illness or physical abuse may complicate the evaluation and treatment of some women with long-standing vaginal foreign bodies.- - - - - - - - - - ranking = 1keywords = fistula (Clic here for more details about this article) |
8/14. The management of urinary fistulas and strictures with percutaneous ureteral stent catheters.A method is described for percutaneous anterograde introduction of a ureteral stent catheter. The experience and treatment of 5 patients are reported: 2 ureterovaginal fistulas, 2 ureterocutaneous fistulas and 1 ureteral stricture. The capability of the technique to place a stent catheter in the presence of an almost complete separation of the ureter or through ureteral segments deformed by extensive cicatricial changes is emphasized. The method is advocated as a most effective alternative to supravesical drainage in patients with ureteral fistulas and impaired healing potential of ureters devitalized by surgical stripping and/or radiation therapy.- - - - - - - - - - ranking = 1.4keywords = fistula (Clic here for more details about this article) |
9/14. Repair of urinary tract fistulas with bulbocavernosus myocutaneous flaps.urinary tract fistulas resulting from severe trauma or pelvic irradiation are often associated with extensive tissue loss, scar formation, and fibrosis. Two cases, one with a urethro-vaginal fistula secondary to trauma and one with a vesico-vaginal fistula secondary to irradiation, are presented. In neither case could the bladder, urethra, or vagina be repaired primarily. Using a bulbocavernosus myocutaneous "island" flap, the fistulas were successfully repaired. The anatomy of the graft and the operative procedure are described. This new procedure should be considered in urinary tract fistulas in which there is extensive tissue loss and scarring.- - - - - - - - - - ranking = 1.8keywords = fistula (Clic here for more details about this article) |
10/14. Primary vaginal stones.calculi composed of urinary salts rarely occur outside the urinary tract. In female subjects such calculi occuring in the vagina are uncommon, with only 26 cases reported thus far. These stones may be primary or secondary. Primary stones are formed in the vagina owing to the deposition of urinary salts as a result of continuous urinary leakage into the vagina. They have been described in association with urinary leakage caused by vesicovaginal fistulas, urethrovaginal fistulas, an ectopic vaginal ureter in a 7-year-old child and incontinence owing to a neurogenic bladder. A secondardy vaginal stone is formed around a foreign body in the vagina. Rarely, a vesical calculus may migrate into the vagina because of an ulceration of the vesicovaginal septum and grow in the vagina as a secondary calculus. Most of the reported cases are primary, struvite calculi associated with vesicovaginal fistulas. Because of their rarity we present 2 such cases occurring in patients with vesicovaginal fistulas.- - - - - - - - - - ranking = 769.32873463749keywords = vesicovaginal fistula, vesicovaginal, fistula (Clic here for more details about this article) |
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