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Results for “Urinary Bladder Fistula”

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At least 19 recordsLinked to original sources
PubMed2006

Laparoscopic intraperitoneal repair of high-up urinary bladder fistula: a review of 12 cases.

Conventional abdominal operations for urinary bladder fistula have limitations like increased morbidity, more hemorrhage, more postoperative pain, and longer hospital stay. Laparoscopic repair of bladder fistula was done to explore the potential role of laparoscopic surgery in this field. Twelve women with vesicovaginal (11) and vesicouterine (one) fistula, of both gynecological (seven) and obstetric (five) origins, were treated by laparoscopic intraperitoneal repair between 1991 and 2004. The bladder wall was mobilized and repaired by interrupted stitches in single-layer followed by omental interposition. All cases were completed laparoscopically without any significant intra- or postoperative complication. Gynecological cases were discharged on the fourth day. Urinary catheters of all women were removed on the 14th day, and all but one obstetric fistula (91% success) were closed. Long-term follow-up confirmed the cure. Laparoscopic repair is an excellent method of repairing urinary bladder fistula located near the vaginal apex.

Female↗
PubMed1993

[Urinary bladder fistulas].

During the period 1978 to 1991, 19 patients were treated for fistula of the urinary bladder, 12 of the fistulas were enterovesical, four vesicovaginal, one vesicouterine and two vesicocutaneous. Most of them occurred after diverticulitis or operation, or when the patient suffered from a malignant disease. Four patients received conservative treatment. One patient decided against an operation, two were inoperable, and one fistula closed with use of an indwelling catheter. 15 were operated on. 12 extirpations of fistula were carried out. Additional resection of intestine was performed in seven patients and hysterectomia in two patients. Other procedures included two enterostomias and one ileum bladder. In ten patients postoperative courses were uneventful. Four patients died during the first month after operation. One suffered a relapse, and another damage to the nerves of the bladder.

Adult↗
PubMed1997

[Urethral lengthening (the Kropp technic) in neurologic urinary incontinence in children and adolescents. Results of a series of 22 cases].

In 1986 Kropp et Angwafo described a technique of urethral lengthening for the treatment of urinary incontinence in children with neurogenic bladders. We have used a modified version of this procedure in 22 girls between 1986 and 1990. Here we report its mid and long term effects on continence. The problems we have encountered in these patients are discussed.

Adolescent↗
PubMed1978

[Urological complications following radical treatment of carcinoma of the cervix (author's transl)].

Urinary tract infection, obstruction and fistulation are the three commonest urological complications following radical treatment of cervical carcinoma. Special trends in treatment are discussed. Long-term results confirm the value of using a bladder flap in cases of reimplantation of the ureter into the bladder. Formation of a unilateral or bilateral "psoastip-bladder" (bipartition of the bladder) is described and active surgical management is recommended in cases of operable recurrent cervical carcinoma involving the urinary tract.

Female↗
PubMed2004

[Scrotal oedema in a kidney graft recipient].

A 54-year old man received a cadaveric renal allograf for end-stage renal disease due to membranous nephropathy. The patient developed scrotal oedema, 14 days after renal transplantation. The biochemical analysis of scrotal fluid after surgical drainage demostrated urine. Helical computed tomography was performed and it showed contrast leaks in medial, distal ureter and bladder. The urinary fistula was treated with surgical repairment and catheter endoluminal of ureter which was retired in four weeks. The incidence of urinary fistula ranged from 3 to 9%. The scrotal or perineal oedema is unusual clinical presentation of urinary leaks. The diagnosis of urinary fistula may be difficult and depends on a high degree of clinical suspicion. The helical computed tomography is a technique which allows a high resolution three-dimensional reconstruction and it can be used to make the diagnosis of urinary fistula.

Edema↗