ArticleInternational journal of urology : official journal of the Japanese Urological Association2023
Transvaginal vesicovaginal fistula closure: A retrospective study of 28 cases at a single facility in Japan.
Article in International journal of urology : official journal of the Japanese Urological Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Surgical interventions for treating vesicovaginal fistula in women.The Cochrane database of systematic reviews · 2026Article
- Surgical management and outcomes of vesicovaginal fistula: a 12-year experience in a tertiary center.Frontiers in medicine · 2026Article
- Preliminary experience with minimally invasive transvaginal single-port laparoscopic vesicovaginal fistula repair: report of 10 cases.International urology and nephrology · 2025Article
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Authors and funding
6 authors.
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Abstract
objectivesWe aimed to report the background of patients with vesicovaginal fistulas (VVFs) at our center, which has treated a relatively large number of such patients in Japan, as well as the ingenuity and outcomes of vesicovaginal fistula closure (VVFC). We also investigated the causes of VVFs.
methodsA retrospective review was performed for 28 patients with VVFs treated at our center. Age, body mass index, etiology, site of fistula, and postoperative outcomes were investigated.
resultsTwenty-one (75%) fistulas occurred following hysterectomy. The overall success rate of VVFC was 85.7%, and the success rate limited to the first attempt was 89.5%. In 68% of cases, no bladder injury suspected as the cause of VVF was noticed during the surgery. Energy devices were used in all 12 patients for whom information on the type of device used for hysterectomy was confirmed.
conclusionsTo our knowledge, this is the first report to evaluate a relatively large number of VVFCs in Japan. Although VVF is thought to be caused by bladder injury during hysterectomy, delayed thermal damage might also result in this pathology, even if there is no apparent intraoperative bladder injury.
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