Abstract
The clinical manifestation of urogenital fistulas is dependent on their size, location, and relation to the urethral sphincter. Fistulas proximal to the urinary sphincter may be associated with complaints of stress urinary incontinence or, if close to the bladder neck or the vaginal cuff, could cause continuous leakage of urine. The time of presentation can be varied and depends greatly on the mechanism of action behind the inciting injury. Several factors must be considered at the time of the surgical intervention. Inflamed and erythematous tissue should be debrided and sent to pathology for microscopic examination, especially in the setting of recurrent fistulas, malignancy, or previous radiation. Foreign bodies present, such as a synthetic mesh, must be removed in their entirety as this may predispose to fistula recurrence. Closure of the fistula should be multi-layered closures with nonoverlapping suture lines. In some cases interposition grafts are needed.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
