Labial Cutaneous Flap Interposition in the Treatment of Recurrent Vesicovaginal Fistula

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dc.contributor.authorBaşbuğ, Alper
dc.contributor.authorDoğan, Ozan
dc.contributor.authorKaya, Aşkı Ellibeş
dc.contributor.authorAkar, Bertan
dc.contributor.authorGümüştaş, Gökhan
dc.contributor.authorÇalışkan, Eray
dc.date.accessioned2020-04-30T23:18:49Z
dc.date.available2020-04-30T23:18:49Z
dc.date.issued2019
dc.departmentDÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.descriptiondogan, ozan/0000-0002-0016-8749en_US
dc.descriptionWOS: 000447003700001en_US
dc.description.abstractBackground: Recurrent vesicovaginal fistula (VVF) repair can be very difficult. Most gynecologists prefer the vaginal route because of the complexity of the abdominal approach. This article presents a simple procedure-a minimally invasive approach-labial cutaneous flap intertposition, that was used to treat an elderly patient with VVF. A cutaneous flap has good vascularity, allows augmentation of the bladder, and permits a vaginal approach. Case: A 72-year-old woman had VVF due to prolonged obstructed labor 30 years prior and had undergone transvaginal primary layered repair for this reason. Later on, she underwent total abdominal hysterectomy (TAH) and sacrocolpopexy to address uterine prolapse and cystocele. VVF developed after the TAH and sacrocolpopexy procedures. After the first postoperative month, she had recurrent urinary incontinence. A fistula between the bladder neck and vagina was noted when she had a vaginal examination and cystoscopy. A cutaneous labial flap was used to repair this recurrent VVF. Results: The labial cutaneous flap for repair of this patient's VVF was used successfully. The patient had no more evidence of recurrent VVF or voiding abnormalities after this procedure. Conclusions: Labial cutaneous tissue can be used to create a successful interposition flap during repair of recurrent VVF, particularly in elderly patients.en_US
dc.identifier.doi10.1089/gyn.2018.0043en_US
dc.identifier.endpage114en_US
dc.identifier.issn1042-4067
dc.identifier.issn1557-7724
dc.identifier.issue2en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage112en_US
dc.identifier.urihttps://doi.org/10.1089/gyn.2018.0043
dc.identifier.urihttps://hdl.handle.net/20.500.12684/3542
dc.identifier.volume35en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherMary Ann Liebert, Incen_US
dc.relation.ispartofJournal Of Gynecologic Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectfistula tracten_US
dc.subjectlabial cutaneous flapen_US
dc.subjecturogenital fistulaen_US
dc.subjectvesicovaginal fistulaen_US
dc.titleLabial Cutaneous Flap Interposition in the Treatment of Recurrent Vesicovaginal Fistulaen_US
dc.typeArticleen_US

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