scholarly journals Urethrovaginal fistula 11 years after a bone anchor sling using woven polyester and treatment with a Martius flap

2021 ◽  
Author(s):  
Kumiko Kato ◽  
Akitaka Suzuki ◽  
Yuji Hayashi ◽  
Aika Matsuyama ◽  
Hiroki Sai ◽  
...  
Keyword(s):  
Bone Anchor ◽  
Urethrovaginal Fistula ◽  
Martius Flap

URETHROVAGINAL FISTULA REPAIR WITH MARTIUS FLAP

2009 ◽  
Vol 181 (4S) ◽  
pp. 793-793
Author(s):  
Ariana L Smith ◽  
Ja-Hong Kim ◽  
Chad Baxter ◽  
Andrea Staack ◽  
Larissa Rodriguez ◽  
...  
Keyword(s):  
Fistula Repair ◽  
Urethrovaginal Fistula ◽  
Martius Flap

Transvaginal repair of a urethrovaginal fistula using the Latzko technique with a bulbocavernosus (Martius) flap

2016 ◽  
Vol 27 (12) ◽  
pp. 1925-1927 ◽  
Author(s):  
Ariel Zilberlicht ◽  
Yuval Lavy ◽  
Ron Auslender ◽  
Yoram Abramov
Keyword(s):  
Urethrovaginal Fistula ◽  
Transvaginal Repair ◽  
Martius Flap

scholarly journals Pathophysiology and Management of Long-term Complications After Transvaginal Urethral Diverticulectomy

2021 ◽  
Vol 25 (3) ◽  
pp. 202-209
Author(s):  
Hyeon Woo Kim ◽  
Jeong Zoo Lee ◽  
Dong Gil Shin
Keyword(s):  
De Novo ◽  
Urethral Diverticulum ◽  
Pubovaginal Sling ◽  
Urethrovaginal Fistula ◽  
Benign Condition ◽  
Martius Flap ◽  
Urethral Bulking ◽  
Tract Infections ◽  
Female Urethral Diverticulum

Female urethral diverticulum (UD) is a rare and benign condition that presents as an epithelium-lined outpouching of the urethra. It has various symptoms, of which incontinence in the form of postmicturition dribble is the most common. The gold standard for the diagnosis of UD is magnetic resonance imaging, and the treatment of choice is transvaginal diverticulectomy. Despite the high success rate of transvaginal diverticulectomy, postoperative complications such as de novo stress urinary incontinence (SUI), recurrence, urethrovaginal fistula, recurrent urinary tract infections, newly-onset urgency, and urethral stricture can occur. De novo SUI is thought to result from weakening of the anatomical support of the urethra and bladder neck or damage to the urethral sphincter mechanism during diverticulectomy. It can be managed conservatively or may require surgical treatment such as a pubovaginal sling, Burch colposuspension, or urethral bulking agent injection. Concomitant SUI can be managed by concurrent or staged anti-incontinence surgery. Recurrent UD may be a newly formed diverticulum or the result of a remnant diverticulum from the previous diverticulectomy. In cases of recurrent UD requiring surgical repair, placing a rectus fascia pubovaginal sling may be an effective method to improve the surgical outcome. Urethrovaginal fistula is a rare, but devastating complication after urethral diverticulectomy; applying a Martius flap during fistula repair may improve the likelihood of a successful result. Malignancies in UD are rarely reported, and anterior pelvic exenteration is the recommended management in such cases.

Bone suture anchor repair and functional outcome of a triceps tendon rupture, a rare clinical entity

2021 ◽  
Vol 14 (7) ◽  
pp. e241773
Author(s):  
Pieter Willem Johannes Lozekoot ◽  
Juul Jeanne Wilhelmus Tegels ◽  
Raoul van Vugt ◽  
Erik Robert de Loos
Keyword(s):  
Tendon Rupture ◽  
Suture Repair ◽  
Bone Anchor ◽  
Rare Injury ◽  
Accident And Emergency ◽  
Active Range Of Motion ◽  
Triceps Tendon Rupture ◽  
Elbow Function ◽  
Triceps Tendon ◽  
Anchor Suture

Triceps tendon rupture is rare and easily missed on presentation. A 58-year-old man was seen in our accident and emergency department with an inability to extend his right elbow against gravity after he fell. Ultrasound and MRI confirmed the suspected diagnosis of a traumatic triceps tendon rupture and excluded additional injuries. Surgical repair was carried out by a bone anchor suture reinsertion of the tendon to the olecranon. After 2 weeks of cast immobilisation, an early active range of motion (ROM) rehabilitation schedule was followed, resulting in excellent elbow function at 12 weeks postoperatively.In conclusion, it is important to suspect this rare injury and use additional studies to confirm the diagnosis of triceps tendon rupture. Also, good clinical outcome with regards to function can be achieved using bone anchor suture repair and an early active ROM rehabilitation schedule.

Urogenital Fistulas and Female Urethral Diverticula

2020 ◽  
Author(s):  
Lindsey Cox ◽  
Eric S. Rovner
Keyword(s):  
Urinary Tract ◽  
Surgical Techniques ◽  
Signs And Symptoms ◽  
Urethral Diverticulum ◽  
Vascular Supply ◽  
Organ System ◽  
Fistula Tract ◽  
Urethrovaginal Fistula ◽  
Urogenital Fistula ◽  
Tract Fistula

Urogenital fistulas are a group of conditions in which the urinary tract is apparently connected to another organ system. Causes of fistula range from congenital anomalies, malignancy, trauma, infection or inflammatory conditions, ischemia, parturition, and iatrogenic sources – including surgery and radiation. Signs and symptoms of urinary tract fistula are variable and depend on the organ system involved and the size of the fistula. For patients who are appropriate surgical candidates, elective surgical repair is the mainstay of treatment of urinary tract fistula. Surgical techniques can be complex, but rely on the same key concepts: adequate exposure of the fistula tract; careful dissection and separation of the tissue layers, while minimizing cautery; multi-layer closure; watertight closure of each layer; meticulous hemostasis to prevent hematoma formation, but preserve vascular supply of tissues; use of well-vascularized tissue flaps; tension-free, non-overlapping suture lines; biopsy of tissues concerning for malignancy. This review contains 6 figures, 5 tables, and 82 references. Keywords: urogenital fistula, female bladder, vesical fistula, urinary bladder fistula, vesicovaginal fistula, urethrovaginal fistula, vaginal fistula, urethral diverticulum, urethral diverticulectomy, female urethra

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