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Department of Obstetrics, Gynecology and Reproductive Sciences, Yale School of Medicine, 333 Cedar Street, New Haven, CT, 06511, USA.
Introduction And Hypothesis: Perineorrhaphy with levator myorrhaphy is considered a standard part of colpocleisis. Typically, this is done through a separate incision after colpocleisis is completed. We present a video to demonstrate a modified approach to LeFort colpocleisis incorporating perineorrhaphy into the procedure.
View Article and Find Full Text PDFDistal colpocleisis for actinic vesico-vaginal-rectal fistulas, a simple resolution for a complex problem.
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Department of Urology, Santa Casa de São Paulo School of Medical Science, Street Dr. Cesário Mota Junior, 112 - Vila Buarque, São Paulo, SP, 01221-020, Brazil.
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Department of Obstetrics, Gynecology and Reproductive Biology, Harvard Medical School, Boston, MA, USA.
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Division of Urogynecology, Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, Taiwan, Republic of China.
Ureterovaginal fistula is an uncommon but serious sequela of unrecognized distal ureteral injury during pelvic operations. Traditionally, it is managed either by endoscopic internal ureteral stenting or by ureteral reimplantation. We report a case of ureterovaginal fistula that failed to respond to ureteral stenting.
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The application of a modified Latzko's partial colpocleisis to vesicovaginal fistula occurring after abdominal hysterectomy has been reported. The present method, which is safe and highly effective, can be perfomred with ease by urologists having little experience with transvaginal operations. It is important in performing the present operation to remove the tension on the bladder wall by dissecting the cleavage plane between the vaginal wall and the bladder wall in a distal direction from the denuded area surrounding the fistula.
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