WordNet

an abnormal passage leading from a suppurating cavity to the body surface (同)sinus

PrepTutorEJDIC

瘻(ろう)菅(長い菅状になった潰瘍)

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2014/03/10 19:53:44」(JST)

wiki en

[Wiki en表示]

VVF redirects here. You may also be looking for The Vegetarian and Vegan Foundation.

Vesicovaginal fistula (VVF) is a subtype of female urogenital fistula (UGF).

Presentation[edit]

Vesicovaginal Fistula, or VVF, is an abnormal fistulous tract extending between the bladder (or vesico) and the vagina that allows the continuous involuntary discharge of urine into the vaginal vault.

In addition to the medical sequelae from these fistulas, they often have a profound effect on the patient's emotional well-being.

Causes[edit]

It is often caused by childbirth (in which case it is known as an obstetric fistula), when a prolonged labor presses the unborn child tightly against the pelvis, cutting off blood flow to the vesicovaginal wall. The affected tissue may necrotize (die), leaving a hole.

Vaginal fistulas can also result from violent rape. This injury has become common in some war zones, where rape is used as a weapon against female civilians. As a result, some health centers in countries such as the Democratic Republic of Congo have begun to specialize in the surgical repair of vaginal fistulas.

It can also be associated with hysterectomy,^[1] cancer operations, radiation therapy and cone biopsy.

Repair of VVF[edit]

Vesicovaginal fistulae are typically repaired either transvaginally or laparoscopically, although patients who have had multiple transvaginal procedures sometimes attempt a final repair through a large abdominal incision, or laparotomy.

The laparoscopic (minimally invasive) approach to VVF repair has become more prevalent due to its greater visualization, higher success rate, and lower rate of complications.^[2]

Possible Complications of Surgical Treatment[edit]

Recurrent formation of the fistula^[3]
Injury to ureter, bowel, or intestines
Vaginal shortening

References[edit]

^ Kochakarn W, Pummangura W (October 2007). "A new dimension in vesicovaginal fistula management: an 8-year experience at Ramathibodi hospital". Asian J Surg 30 (4): 267–71. doi:10.1016/S1015-9584(08)60037-8. PMID 17962130.
^ Miklos, JR. (2010, October 20). Fistula Repair Overview. Fistularepair.com. Retrieved September 11, 2013, from http://www.fistularepair.com/overview.php
^ Laparoscopic Management of Recurrent Vesicovaginal Fistula - J.R. Miklos, C. Sobolewski and V. Lucente. Lehigh Valley Hospital, Allentown, Pennsylvania, USA.

External links[edit]

Fistula Vesico Vaginal Information in Spanish about Fistula Vesico Vaginal. Caracas, Venezuela
Worldwide Fistula Fund is a non-profit organization that provides free fistula surgeries and prevention outreach in Danja, Niger
The International Organization for Women and Development is a non-profit organization that assists in Niger
One By One - a nonprofit organization working to eliminate obstetric fistula.
FORWARD - a charity that works to eliminate VVF/fistula and gender-based discriminatory practices such as FGM and child marriage which can cause VVF
Fistula Foundation - supporting the work of the Hamlin Fistula Hospitals in Ethiopia.
Women's Health and Education Center
Urinary Fistula
Bladder - Vaginal Fistula Surgeons

UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

1. 女性における尿生殖路瘻 urogenital tract fistulas in women
2. 発展途上国における産科瘻孔 obstetric fistulas in resource limited settings
3. 婦人科外科手術における尿路損傷：予防 urinary tract injury in gynecologic surgery prevention
4. 婦人科悪性腫瘍に対する放射線療法の使用に伴う治療関連毒性 treatment related toxicity from the use of radiation therapy for gynecologic malignancies
5. 女性の尿失禁の評価 evaluation of women with urinary incontinence

English Journal

Trends in the aetiology of urogenital fistula: a case of 'retrogressive evolution'?

Hilton P1.
International urogynecology journal.Int Urogynecol J.2016 Jan 7. [Epub ahead of print]
It has long been held as conventional wisdom that urogenital fistulae in low-income and middle-income countries are almost exclusively of obstetric aetiology, related to prolonged neglected obstructed labour, whereas those seen in high-income countries are largely iatrogenic in nature. There is, how
PMID 26744338

Practice patterns and postoperative complications before and after US Food and Drug Administration safety communication on power morcellation.

Harris JA1, Swenson CW2, Uppal S3, Kamdar N4, Mahnert N5, As-Sanie S5, Morgan DM2.
American journal of obstetrics and gynecology.Am J Obstet Gynecol.2016 Jan;214(1):98.e1-98.e13. doi: 10.1016/j.ajog.2015.08.047. Epub 2015 Aug 24.
BACKGROUND: In April 2014, the US Food and Drug Administration (FDA) published its first safety communication discouraging "the use of laparoscopic power morcellation during hysterectomy or myomectomy for the treatment of women with uterine fibroids." Due to the concern of worsening outcomes for pat
PMID 26314519

Transvaginal neobladder vaginal fistula repair after radical cystectomy with orthotopic urinary diversion in women.

Carmel ME1, Goldman HB2, Moore CK2, Rackley RR2, Vasavada SP2.
Neurourology and urodynamics.Neurourol Urodyn.2016 Jan;35(1):90-4. doi: 10.1002/nau.22687. Epub 2014 Oct 18.
AIM: We present the surgical management and outcomes of patients who underwent transvaginal neo-bladder vaginal fistula (NBVF) repair at our institution.METHODS: Between 2002 and 2012, eight patients underwent transvaginal NBVF repair. The surgical management entailed placing a Foley catheter into t
PMID 25327960