What is VVF operation?
A vesicovaginal fistula is an abnormal opening that forms between the bladder and the wall of the vagina. A fistula can be a complication after vaginal or bladder surgery. The only way to repair this opening is through surgery, which is very often successful.
What is VVF disease?
Introduction. Vesicovaginal fistula (VVF) is an abnormal opening between the bladder and the vagina that results in continuous and unremitting urinary incontinence. The entity is one among the most distressing complications of gynecologic and obstetric procedures.
What is Latzko technique?
In 1942, Latzko reported a technique (derived from the Simon’s procedure) whereby vault vesicovaginal fistulas are treated through a purely vaginal ap- proach. It consists of a vault colpocleisis without any attempt at dissection of the fistulous tract (3).
What are the signs and symptoms of VVF?
If you have a vesicovaginal fistula (an opening between your vagina and bladder), urine will constantly leak from your bladder into your vagina….Vaginal Fistula Symptoms
- Fever.
- Belly pain.
- Diarrhea.
- Weight loss.
- Nausea.
- Vomiting.
What are the types of VVF?
They are named based on the location and organs they affect:
- Vesicovaginal fistula. Also called a bladder fistula, this opening occurs between the vagina and urinary bladder.
- Ureterovaginal fistula.
- Urethrovaginal fistula.
- Rectovaginal fistula.
- Colovaginal fistula.
- Enterovaginal fistula.
What are the complications of VVF?
The success of VVF repair at the first attempt is approximately 85% for both transabdominal and transvaginal techniques. [11] Complications include recurrent fistula formation, ureteric injury or obstruction, vaginal stenosis, reduced bladder capacity and irritative lower urinary tract symptoms.
What are the effects of VVF?
Results: Women reported many psychological consequences of VVF including depression, feelings of shame, and loneliness. Others reported feeling devalued as a woman and wanting to end their lives.
What is Martius flap?
The Martius flap procedure is a surgical procedure used to treat obstetric fistulas in women. Heinrich Martius developed the procedure in twentieth century Germany to treat women with urinary incontinence caused by stress, and later doctors used it to repair obstetric fistulas.
How is urinary fistula diagnosed?
Bladder fistula is diagnosed with an x-ray study. The type of x-ray used may be a CT scan or a pelvic x-ray. A dye that shows up well in x-rays (called “contrast”) will be put into your bladder, either through a vein or a catheter.
What is labial fat pad?
The Martius modified labial fat pad flap (MMLFPF, referred to commonly as the Martius flap) remains the simplest and most versatile interposition tissue for complex vaginal surgery.
What is the blood supply to a Martius flap?
In 1928, Heinrich Martius presented an interpositional tissue flap from the bulbocavernosus muscle accompanied with fibroadipose tissue from labia majora pudenda [9]. This flap receives a blood supply from both external and internal pudendal arteries.
How do you treat a bladder fistula without surgery?
In the occasional case of a simple fistula (one that is not associated with cancer or radiation therapy), bladder drainage for a minimum of four weeks may allow the fistula to heal without surgery.
What is a Martius flap?
What is a Martius graft?
A Martius Graft brings a graft of labial fat across from the labia majora to the vagina. The Martius flap is the technique of taking the labia majora for the repair tissue. It is used to minimise urethral-vaginal fistula risk after urethral surgery.