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

研究成果: Article査読

抄録

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.

本文言語English
ページ(範囲)497-499
ページ数3
ジャーナルActa Urologica Japonica
60
10
出版ステータスPublished - 2014 10月 1
外部発表はい

ASJC Scopus subject areas

  • 医学(全般)

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