Abstract
SummaryThis study was undertaken to assess the effect of omental interposition in the management of urinary fistulas involving the vagina. A total of 33 patients were referred to the urology department of the Cardiff Royal Infirmary for closure of vagino-urinary fistulas, over 10 years. There were 20 simple and 13 complex fistulas. A 100 per cent success rate was achieved in terms of fistulas closure using the omental interposition technique irrespective of the aetiology. We recommend that a suprapubic approach and omental interposition should be considered for all urinary fistulas involving the vagina and is the procedure of choice in all complex cases.
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