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Current Urology Reports

, 20:67 | Cite as

Neobladder-Vaginal Fistula: Surgical Management Techniques

  • Melissa R. KaufmanEmail author
Lower Urinary Tract Symptoms & Voiding Dysfunction (J Sandhu, Section Editor)
  • 46 Downloads
Part of the following topical collections:
  1. Topical Collection on Lower Urinary Tract Symptoms & Voiding Dysfunction

Abstract

Purpose of Review

To describe the complexities of diagnosis and management of neobladder-vaginal fistula (NVF) following orthotopic urinary diversion in women.

Recent Findings

Multiple recent single-institution series confirm the variability of outcomes for NVF repairs and caution regarding comorbid stress urinary incontinence which may necessitate further interventions including conversion to alternate diversions.

Summary

Although both abdominal and transvaginal approaches have been advocated for surgical management of NVF, contemporary series from reconstructive surgeons favor a vaginal approach to decrease overall operative morbidity. Patients should be carefully counseled regarding neobladder and sphincter function following fistula repair along with the risks of secondary urinary diversion.

Keywords

Orthotopic neobladder Neobladder-vaginal fistula Urinary diversion 

Notes

Compliance with Ethical Standards

Conflict of Interest

M.R.K. is a principal investigator for Cook Myosite, resident course instructor for Boston Scientific, on the data safety monitoring board for Valencia Technologies, and is an assistant editor for the Journal of Urology.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of UrologyVanderbilt Medical CenterNashvilleUSA

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