A case of vesicovaginal fistula repair with rectus abdominus myofascial interposition flap after radical hysterectomy and radiation therapy

Yuki Endo, Shigeki Iigaya, Taiji Nishimura, Naohiro Ishii, Yoshihisa Kitaoka, Toshifumi Kawashima, Chiharu Ohara, Tsutomu Hamasaki, Yukihiro Kondo

Research output: Contribution to journalArticle

Abstract

Vesicovaginal fistulas (WFs) caused after radiation are difficult to repair and require interposition of non-irradiated, well-vascularized tissue between urinary bladder and vagina. A 48-year-old female suffered cervical cancer and underwent radical hysterectomy followed by radiation therapy which caused WF. The initial surgical repair performed 3 months after development of WF, was unsuccessful because of the absence of peritoneum or omentum to interpose between urinary bladder and vagina probably due to history of cesarean section and radical hysterectomy. The second surgical repair was performed 15 months after the first surgery utilizing a rectus abdominus myofascial (RAM) interposition flap. Fifteen months after the second operation, she remains free from incontinence. This case suggests that RAM is useful even for postradiation WF.

Original languageEnglish
Pages (from-to)497-499
Number of pages3
JournalActa Urologica Japonica
Volume60
Issue number10
Publication statusPublished - 2014 Oct 1

Keywords

  • Rectus abdominus myofascial flap
  • Vesicovaginal fistula

ASJC Scopus subject areas

  • Urology

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  • Cite this

    Endo, Y., Iigaya, S., Nishimura, T., Ishii, N., Kitaoka, Y., Kawashima, T., Ohara, C., Hamasaki, T., & Kondo, Y. (2014). A case of vesicovaginal fistula repair with rectus abdominus myofascial interposition flap after radical hysterectomy and radiation therapy. Acta Urologica Japonica, 60(10), 497-499.