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- W2031596265 abstract "We read this report with special interest and congratulate the authors for achieving a 100% success rate without tissue interposition. The question is whether we should now believe that tissue interposition is no longer needed for posthysterectomy, simple, vesicovaginal fistulas (VVFs). The answer to this question is difficult. The reason being that the predictors of successful repair have not been defined for VVF (unlike other urologic procedures such as urethroplasty and pyeloplasty). There were 24 women with recurrent VVF. How many of them had undergone a previous vaginal and abdominal repair? Do the authors have any details of whether the repair was done with an interposition flap? Compared with VVF due to obstructed labor, the repair of fistula formed because of hysterectomy is simple, and 100% results are usually achieved at centers that treat VVF. The authors report same-day hospital discharge for most of their patients. We do not use this policy (perhaps because of different social and economic factors), and most women in our hospital have a 2-3-day hospital stay. We believe the best repair is the first repair. Because the predictors of failure have not been defined, every attempt should be made (including interposition flaps) to ensure a successful result. 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" @default.
- W2031596265 created "2016-06-24" @default.
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- W2031596265 date "2014-01-01" @default.
- W2031596265 modified "2023-09-26" @default.
- W2031596265 title "Re: Pshak et al.: Is Tissue Interposition Always Necessary in Transvaginal Repair of Benign, Recurrent Vesicovaginal Fistulas? Urology (2013;82:707-712)" @default.
- W2031596265 doi "https://doi.org/10.1016/j.urology.2013.08.065" @default.
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