Colo-urinary-tract fistula in the cancer patient

1979 ◽  
Vol 22 (3) ◽  
pp. 143-148 ◽  
Author(s):  
Kevin G. Looser ◽  
Stuart H. Q. Quan ◽  
Donald G. C. Clark
Keyword(s):  
Urinary Tract ◽  
Cancer Patient ◽  
Tract Fistula

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

Urinary Tract Fistula

2011 ◽  
pp. 481-495
Author(s):  
Brett D. Lebed ◽  
Eric S. Rovner
Keyword(s):  
Urinary Tract ◽  
Tract Fistula

Iliac-Ileal Conduit Fistula

2019 ◽  
Vol 53 (8) ◽  
pp. 662-664
Author(s):  
Iris Coello Torà ◽  
Ana Isabel Martínez Moreno ◽  
Jorge Guimerà García ◽  
Marta de la Cruz Ruíz ◽  
Enrique Carmelo Pieras Ayala
Keyword(s):  
Urinary Tract ◽  
Ileal Conduit ◽  
Endovascular Stent ◽  
Stent Grafting ◽  
Endovascular Stent Grafting ◽  
Ureteral Stenting ◽  
Tract Fistula

One of the possible complications of chronic ureteral stenting is an artery–urinary tract fistula, although it is very rare. If it occurs, it is an emergency that needs surgery because of hemorrhage. We describe a case of an iliac-ileal conduit fistula, which is extremely rare, that was successfully treated by endovascular stent grafting.

scholarly journals Vesico vaginal fistula: prevention is possible

2016 ◽  
Vol 12 (2) ◽  
Author(s):  
Zohra Khanum ◽  
Humaira Akram
Keyword(s):  
Urinary Tract ◽  
Prospective Study ◽  
Surgical Repair ◽  
Age Group ◽  
Vaginal Fistula ◽  
A Prospective Study ◽  
Fistula Prevention ◽  
Vesico Vaginal Fistula ◽  
Tract Fistula

A prospective study was conducted at Lady Willingdon hospital Lahore from Jan,2002 to Dec, 2004. During the mentioned period 22 patients were admitted with the diagnosis of urinary tract fistula. Among these most of the patients (i.e, 45%) were young belonging to age group 20-30 years. According to the causes 72 % were due to obstetrical causes, 23% due to surgical causes and 5 % were due to malignant. Regarding to the location of the fistula 14% were juxtauretheral,28% low vaginal, 35% mid vaginal,09% high vaginal and 14% were vault fistulae.Out of 22 patients first surgical repair failure occurred in four patients.

scholarly journals Accuracy of pre-operative fistula diagnostics in anorectal malformations

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Louise Tofft ◽  
Martin Salö ◽  
Einar Arnbjörnsson ◽  
Pernilla Stenström
Keyword(s):  
High Pressure ◽  
Urinary Tract ◽  
Diagnostic Accuracy ◽  
Anorectal Malformations ◽  
Voiding Cystourethrogram ◽  
Surgical Safety ◽  
Ethical Approval ◽  
Surgery Center ◽  
Type Classification ◽  
Tract Fistula

Abstract Background Surgical safety during posterior sagittal anorectal plasty (PSARP) for anorectal malformations (ARM) depends on accurate pre-operative fistula localization. This study aimed to evaluate accuracy of pre-operative fistula diagnostics. Methods Ethical approval was obtained. Diagnostic accuracy of pre-PSARP symptoms (stool in urine, urine in passive ostomy, urinary tract infection) and examination modalities (voiding cystourethrogram (VCUG), high-pressure colostogram, cystoscopy and ostomy endoscopy) were compared to final intra-operative ARM-type classification in all male neonates born with ARM without a perineal fistula treated at a tertiary pediatric surgery center during 2001–2020. Results The 38 included neonates underwent reconstruction surgery through PSARP with diverted ostomy. Thirty-one (82%) had a recto-urinary tract fistula and seven (18%) no fistula. Ostomy endoscopy yielded the highest diagnostic accuracy for fistula presence (22 correctly classified/24 examined cases; 92%), and pre-operative symptoms the lowest (21/38; 55%). For pre-operative fistula level determination, cystoscopy yielded the highest diagnostic accuracy (14/20; 70%), followed by colostogram (23/35; 66%), and VCUG (21/36; 58%). No modality proved to be statistically superior to any other. Conclusions Ostomy endoscopy has the highest diagnostic accuracy for fistula presence, and cystoscopy and high-pressure colostogram for fistula level determination. Correct pre-operative ARM-typing reached a maximum of 60–70%.

scholarly journals Minimally Invasive Repair for Urinary Tract Fistula

2018 ◽  
Vol 25 (7) ◽  
pp. S197
Author(s):  
M. Andou ◽  
M. Sawada ◽  
Y. Hamasaki ◽  
A. Shirane
Keyword(s):  
Urinary Tract ◽  
Minimally Invasive ◽  
Tract Fistula

Urinary Tract Fistula

2020 ◽  
pp. 517-538
Author(s):  
Andrew C. Margules ◽  
Eric S. Rovner
Keyword(s):  
Urinary Tract ◽  
Tract Fistula

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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