We report the case of a patient who developed a vesicoovarian fistula on an endometriosis abscessed cyst. The patient presented with an advanced endometriosis stage IV complicated with a right ovarian abscessed cyst of 10 cm. A first coelioscopy with cystectomy was realized. After surgery, a voiding cystography highlighted a fistula between the ovarian abscess and the bladder. A second surgery ...

OBJECTIVE We evaluated the efficacy of fistulectomy compared to fistulotomy, and which procedure was the best procedure for patients with low anal fistula. METHODS The literature search included PubMed, EMBASE, Cochrane library, Google original studies and a manual search of reference on the topic of fistulectomy compared to fistulotomy for anal fistula that had a deadline for publication by ...

The management of anorectal abscess and anal fistula has changed markedly with time. Invasive methods with high resulting rates of incontinence have given way to sphincter-sparing methods that have a much lower associated morbidity. There has been an increase in reports in the medical literature describing the success rates of the varying methods of dealing with this condition. This article rev...

The challenge of surgery for anal fistula is to eradicate the fistula track while maintaining anal continence. Aim of this study was to analyze the influence of seton technique for high anal fistulas, on results of recurrence and postoperative faecal incontinence and need of permanent stomy. A total of 13 patients of complex anal fistula were operated by seton technique over a period of two and...

Anal fistula is part of the spectrum of perianal sepsis. It is a chronic condition that may present de novo or after an acute anorectal abscess. Anal fistula causes a variety of prolonged or intermittent symptoms including pain, discharge, and social embarrassment. The goals of management are to eradicate the fistula and prevent recurrence while maintaining continence. Simple anal fistula may b...

PURPOSE Laparoscopic partial nephrectomy (LPN) is a relatively recently introduced method of treating renal tumors and, as such, surgical technique is evolving. In open series urinary fistula formation represents a common postoperative complication. In the laparoscopic approach investigators have advocated the placement of a ureteral catheter with retrograde dye injection to visualize caliceal ...

Abstract An 86-year-old lady was admitted with a one-week history of feeling unwell, polyuria, dysuria, urinary and faecal incontinence. She had previously been treated for recurrent UTIs by her GP. On examination she suprapubic tenderness but no peritonism. Observations revealed tachycardia 122bpm temperature 36.3*C. Inflammatory markers were raised white cell count 22.0x106 /L CRP 129 mg/L. U...

in an upward and outward direction. Anterior extension involves the bladder base and causes malignant ulceration of the bladder. A severe cystitis leads to vesico-vaginal fistula, ascending infection, pyelo-nephritis and death. Extension in an upward and outward direction in the broad ligament leads to encroachment on the ureter, which may become infiltrated by malignant tissue. Following obstr...