Abstract
Urethro-vaginal fistula (UVF) is an uncommon urological condition. Most of the causes are iatrogenic from vaginal surgeries in the developed world [1]. Contributing etiology includes urethral trauma, synthetic mid-urethral slings, urethral diverticulum and radiation. The treatment is often difficult, since the operative field is restricted usually from inflammation and/or scarring and reconstructing the urethra requires not only anatomical restoration but also achieving functional urinary continence.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Leach GE. Urethrovaginal fistula repair with Martius labial fat pad graft. Urol Clin North Am. 1991;18:409–13.
Keettel WC, Sehring FG, deProsse CA, Scott JR. Surgical management of urethrovaginal and vesicovaginal fistulas. Am J Obstet Gynecol. 1978;131:425–31.
Blaivas JG. Treatment of female incontinence secondary to urethral damage or loss. Urol Clin North Am. 1991;18:355–63.
Goodwin WE, Scardino PT. Vesicovaginal and urethrovaginal fistulas: a summary of 25 years of experience. Trans Am Assoc GU Surg. 1979;71:123–9.
Lee RA. Current status of genitourinary fistula. Obstet Gynecol. 1988;72:313–9.
Hilton P. Urogenital fistula in the UK: a personal case series managed over 25 years. BJU Int. 2012;110(1):102–10.
Ockrim JL, Greenwell TJ, Foley CL, Wood DN, Shah PJ. A tertiary experience of vesico-vaginal and urethro-vaginal fistula repair: factors predicting success. BJU Int. 2009;103(8):1122–6.
Pushkar DY, Dyakov VV, Kosko JW, Kasyan GR. Management of urethrovaginal fistulas. Eur Urol. 2006;50(5):1000–5.
Blaivas JG, Mekel G. Management of urinary fistulas due to midurethral sling surgery. J Urol. 2014;192(4):1137–42.
Lee D, Zimmern PE. Long-term functional outcomes following non-radiated urethrovaginal fistula repair. World J Urol. 2016;34(2):291–6.
Vassallo BJ, Kleeman SD, Segal J, Karram MM. Urethral erosion of a tension-free vaginal tape. Obstet Gynecol. 2003;101:1055–8.
Reisenauer C, Wallwiener D, Stenzl A, Solomayer FE, Sievert KD. Urethrovaginal fistula—a rare complication after the placement of a suburethral sling (ivs). Int Urogynecol J Pelvic Floor Dysfunct. 2007;18:343–6.
Clemens JQ, DeLancey JO, Faerber GJ, Westney OL, McGuire EJ. Urinary tract erosions after synthetic pubovaginal slings: diagnosis and management strategy. Urology. 2000;56:589–94.
Estevez JP, Cosson M, Boukerrou M. An uncommon case of urethrovaginal fistula resulting from tension-free vaginal tape. Int Urogynecol J. 2010;21:889–91.
Siegel AL. Urethral necrosis and proximal urethro-vaginal fistula resulting from tension-free vaginal tape. Int Urogynecol J. 2006;17:661–4.
Chung C, Kingman T, Tsai L, Bird E. Serious complications from a single-incision midurethral sling placement. Obstet Gynecol. 2012;119(2 Pt 2):464–6.
Deffieux X, Bonnet K, Chevalier N, Gervaise A, Frydman R, Fernandez H. Urinary complications in sub-urethral sling procedures. J Gynecol Obstet Biol Reprod (Paris). 2005;34:745–56.
Popat S, Zimmern PE. Long-term outcomes after the excision of horseshoe urethral diverticulum. Int Urogynecol J. 2016;27(3):439–44.
Blander D, Zimmern PE. Chapter 22. Zimmern S, editor. Urethral diverticulum and urethrovaginal fistula female pelvic reconstructive surgery. Springer; 2002. p. 299–311.
Lee D, Dillon BE, Zimmern PE. Long-term morbidity of Martius labial fat pad graft in vaginal reconstruction surgery. Urology. 2013;82(6):1261–6.
Lee D, Dillon BE, Zimmern PE. Martius labial fat pad procedure: technique and long-term outcomes. Int Urogynecol J. 2015;26(9):1395–6.
Lee D, Alhalabi F, Zimmern P. Long term results after fascia lata pubovaginal sling for complex incontinence secondary to intrinsic sphincteric deficiency. ICS. 2015:Abstract 144.
Lowman J, Moore RD, Miklos JR. Tension-free vaginal tape sling with a porcine interposition graft in an irradiated patient with a past history of a urethrovaginal fistula and urethral mesh erosion: a case report. J Reprod Med. 2007;52:560–2.
Dillon B, Gurbuz C, Zimmern P. Long term results after complication of “prophylactic” suburethral tape placement. Can J Urol. 2012;19:6424–30.
Milose JC, Sharp KM, He C, Stoffel J, Clemens JQ, Cameron AP. Success of autologous pubovaginal sling after failed synthetic mid urethral sling. J Urol. 2015;193(3):916–20.
Stav K, Dwyer PL, Rosamilia A, Schierlitz L, Lim YN, et al. Repeat synthetic mid urethral sling procedure for women with recurrent stress urinary incontinence. J Urol. 2010;183(1):241–6.
Leng WW, Davies BJ, Tarin T, Sweeney DD, Chancellor MB. Delayed treatment of bladder outlet obstruction after sling surgery: association with irreversible bladder dysfunction. J Urol. 2004;172(4 Pt 1):1379–81.
Starkman JS, Duffy 3rd JW, Wolter CE, Kaufman MR, Scarpero HM, Dmochowski RR. The evolution of obstruction induced overactive bladder symptoms following urethrolysis for female bladder outlet obstruction. J Urol. 2008;179(3):1018–23.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Electronic Supplementary Material
Below is the link to the electronic supplementary material.
(WMV 452000 kb)
Rights and permissions
Copyright information
© 2017 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Lee, D. (2017). Urethro-Vaginal Fistula Repair. In: Zimmern, P., De, E. (eds) Native Tissue Repair for Incontinence and Prolapse. Springer, Cham. https://doi.org/10.1007/978-3-319-45268-5_16
Download citation
DOI: https://doi.org/10.1007/978-3-319-45268-5_16
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-45266-1
Online ISBN: 978-3-319-45268-5
eBook Packages: MedicineMedicine (R0)