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- W2156814549 abstract "ausgehen sollte. Nur aufbauend auf genauer Diag- nostik und praziser operativer Technik kann ein zu- friedenstellendes Resultat erzielt werden. Dabei ist es wichtig hervorzuheben, dass eine erfolgreiche Behandlung von rektovaginalem Fistelleiden nicht nur einen sicheren Fistelverschluss bedeutet, son- dern auch das Wiedererlangen analer Kontinenz. Abstract: Management of Rectovaginal Fis- tulas. Rectovaginal fistulas present a distress- ing problem for the patient and a challenge for the treating physician. The management of RVF depends on cause, size and location, anal sphincter function and overall health status of the patient. Careful preoperative assessment of the fistula, surrounding tissues, and anal sphinc- ter and exclusion of associated disease are es- sential. Obstetrical fistulas can be treated suc- cessfully by local approaches transvaginally. Episioproctotomy may be considered if there is an associated sphincter defect. Complicated fis- tulas due to inflammatory bowel disease (IBD) or after radiation need a detailed approach. Crohn's related fistulas may require proctectomy if the rectum is severely involved. Local repair can be considered in instances where the rec- tum is relatively healthy and local sepsis has been controlled. Radiation-induced fistulas may be secondary to cancer recurrence, which must be excluded. With thorough evaluation, thought- ful consideration of treatment options, and me- ticulous operative technique, patients can be assured of an optimal outcome. Success in treatment of patients with RVF should be meas- ured not just in terms of successful closure of the fistula but also in terms of patient satisfac- tion with postoperative anal continence. J Urol Urogynakol 2009; 16 (4): 5-9." @default.
- W2156814549 created "2016-06-24" @default.
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- W2156814549 date "2009-11-23" @default.
- W2156814549 modified "2023-09-26" @default.
- W2156814549 title "Rektovaginale Fisteln und ihre Behandlungsmöglichkeiten" @default.
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