PMID: 15338670Sep 2, 2004Paper

The use of human dura mater as an interposition graft in the treatment of vesicovaginal fistula

International Urology and Nephrology
Bülent AlagölOsman Inci

Abstract

In this prospective study we aimed to describe our new technique; dehydrated human dura mater as an interposition graft in patients undergoing benign vesicovaginal fistula repair (VVF). Eleven patients with benign VVFs aged 38-73 years were operated with dura mater interposition technique at our institution between July 1996 and February 2002. In all patients fistula were secondary to abdominal hysterectomies with benign diseases and two had undergone previous transvaginal surgery. Patients were operated 8-15 (mean 12) weeks after previous surgery. A suprapubic cystotomy was performed and the fistula was not excised. The bladder wall is widely dissected from underlying vagina. Dura-mater was placed over the vaginal suture line to close the fistulous tract, cytostomy was inserted and the bladder was closed. An 18 F Foley catheter was left in the bladder for 5 days. A successful repair is defined as no leakage by cystogram at 14 days postoperatively and completely dry by patient report. An overall success rate of 100% was achieved in all patients. All patients remain dry at the follow-up which ranges from 7 to 60 (mean 26) mounts. Patients were discharged at 14 to 26 (mean 16) days postoperatively. No major complications or side ...Continue Reading

Citations

Nov 27, 2007·Archives of Gynecology and Obstetrics·Tibet ErdogruMehmet Baykara
Sep 4, 2007·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·R R GenadryC R Wheeless
Mar 15, 2015·Urologia·Giuseppe Giusti, Antonello De Lisa
Oct 18, 2019·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Shanmugasundaram RajaianArabind Panda

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