— Fifty-four patients were treated at the Department of Urology, University of Padova for vesico-vaginal fistulas from May 1978 to June 1992. Twenty-six were operated by suprapubic transvesical approach with no long-term relapse. Twenty-eight patients presented complex vesico-vaginal fistulas: 23 were treated by single-stage transvesical repair. In 5 cases a urinary diversion was performed, ileal in 2 cases, colonic in 3. Only 1 case of relapse was observed (3.5%) in this group, and the patient was successfully re-operated. Authors underline classificative and etiologic factors involved in vesico-vaginal fistulas. Diagnostic and technical details of suprapubic transvesical repair are discussed.
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