Urethrovaginal Fistulas: How to Plug a Leaky Pipe

Objective: To demonstrate the surgical approach to repair of a urethrovaginal fistula, emphasizing key principles for successful fistula repair. Urethrovaginal fistulas occur infrequently in the developed world and typically caused by trauma or iatrogenic injury during pelvic surgery. 1 Hilton P Cromwell DA The risk of vesicovaginal and urethrovaginal fistula after hysterectomy performed in the English National Health Service—a retrospective cohort study examining patterns of care between 2000 and 2008. BJOG. 2012; 119: 1447-1454 Crossref PubMed Scopus (60) Google Scholar , 2 Wong MJ Wong K Rezvan A Tate A Bhatia NN Yazdany T Urogenital fistula. Female Pelvic Med Reconstr Surg. 2012; 18: 71-78 Crossref PubMed Scopus (39) Google Scholar , 3 Pushkar DY Dyakov VV Kosko JW Kasyan GR Management of urethrovaginal fistulas. Eur Urol. 2006; 50: 1000-1005 Abstract Full Text Full Text PDF PubMed Scopus (32) Google Scholar