Abstract
Tenets of fistula repair are a good tension-free closure with healthy tissue and especially for “complex” fistulas, an interposition flap. A peritoneal or omental flap is relatively easily attained abdominally, but not so easy vaginally where a peritoneal flap can be found if you are fortunate or a Martius flap can be used if the fistula is distal. Is Tissue Interposition Always Necessary in Transvaginal Repair of Benign, Recurrent Vesicovaginal Fistulae?UrologyVol. 82Issue 3PreviewTo evaluate and compare the outcomes of transvaginal repair of benign, primary, and recurrent vesicovaginal fistulas (VVFs) treated without tissue interposition because, historically, tissue interposition with a vascularized flap has been advocated in both transabdominal and transvaginal repairs of recurrent VVFs. Full-Text PDF
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