BACKGROUND Several techniques have been described for the management of fistula-in-ano, but all carry their own risks of recurrence and incontinence. Technology has evolved over the past 2 decades that may enable surgeons to deal with this troublesome issue with greater success. This review summarizes the history of fistula-in-ano management, the current techniques available, and describes new ...

A rectovesical fistula (RVF) is an uncommon complication of urooncologic surgery. Although several RVFs have been reported, our case is the first reported RVF in the literature that iatrogenically occurred after transurethral resection of the bladder. A single-stage primary repair with omental flap interposition without a colostomy was successfully performed because of the persistence of the fi...

which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Figure 1. Cystography showed a communication between the bowel and bladder (arrows). Figure 2. Computed tomography showed thickening of the bladder wall, an ileovesical fistula, and air in the bladder, indicating presence of communication with the ileum (arr...

BACKGROUND: This study has evaluated urinary tract injuries and dysfunction after Radical Hysterectomy (RH) performed in patients with cervical cancer and has compared the cystometric parameters and urinary complications occurring in these patients with those occurring in patients who had undergone Simple Hysterectomy (SH). PATIENTS AND METHODS: A prospective case-control study was conducted to...

OBJECTIVES To review our experience with patients treated for anal fistula secondary to cryptoglandular disease and to determine factors that influence postoperative outcome. DESIGN Retrospective review. SETTING A regional tertiary referral center. PATIENTS Adult patients with anal fistula secondary to cryptoglandular disease. INTERVENTIONS Fistulotomy, advancement flap, and fistula plu...

Introduction. The standard treatment of colovesical fistula is the removal of fistula, suture of bladder wall, and then colic resection with or without temporary colostomy. The open approach is more commonly used because the laparoscopic approach seems to have high conversion rates and morbidity. We report two cases of colovesical fistula treated with a laparoscopic conservative approach. We al...

Vesicocutaneous fistula, a very distressing condition has a tremendous impact on the quality of life of the patient. We report the case of a 30 years old woman , who had caesarean hysterectomy after her third emergency caesarean section . She later developed abdominal wound infection which required resuturing. Since then she had been suffering from recurrent urinary tract infections and urinary...

Common lower urinary tract fistulas can present as uroenteric fistulas, urogenital fistulas and urocutaneous fistulas. They usually occur as sequel after pelvic surgery, obstetric complications following childbirth and gynecologic procedures. In patients with underlying neoplasm, fistulas may occur from primary or recurrent tumors and as a consequence of pelvic irradiation. Infectious process, ...

BACKGROUND In Ethiopia, about 9000 fistula cases are estimated to occur every year with an incidence of 2.2/1000 women. This study was aimed to determine obstetric fistula characteristics and surgical repair outcomes among patients with fistula surgical repair. METHODS A Hospital based cross sectional study design was conducted on all patients with Obstetric vesicovaginal Fistula, who were ad...

Radiation cystitis is a complication of radiation treatment given for pelvic malignancies. can present as mild symptoms dysuria, frequency, and hematuria to severe life-threatening complications like intractable hematuria, bladder perforation contracted non-functional urinary bladder, fistula etc. Treatment tailored according the severity available modalities sequentially. Initial intravenous f...