Biomaterial Database

The treatment of vesicovaginal fistula by endoscopic injection of fibrin glue. 2010

Frank T D'Arcy, and Syed Jaffry

The Department of Urology, University College Hospital Galway, National University of Ireland, Galway, Ireland. darcyft@yahoo.co.uk

Creation of a vesicovaginal fistula (VVF) is a complication seen in a variety of patients from prolonged labour and elective hysterectomies to advanced gynaecological malignancies. Causing distressing symptoms such as a loss of continence and vulval excoriation, conventional teaching has always advocated an open surgical approach as described by Sims in 1852. This however may not be feasible in cases of advanced malignancy or attractive to the post-operative patient. In this article the case of a 46-year-old lady with a VVF following elective hysterectomy is discussed. She was successfully managed with endoscopic closure of her fistula with fibrin glue.

UI	MeSH Term	Description	Entries
D008279	Magnetic Resonance Imaging	Non-invasive method of demonstrating internal anatomy based on the principle that atomic nuclei in a strong magnetic field absorb pulses of radiofrequency energy and emit them as radiowaves which can be reconstructed into computerized images. The concept includes proton spin tomographic techniques.	Chemical Shift Imaging,MR Tomography,MRI Scans,MRI, Functional,Magnetic Resonance Image,Magnetic Resonance Imaging, Functional,Magnetization Transfer Contrast Imaging,NMR Imaging,NMR Tomography,Tomography, NMR,Tomography, Proton Spin,fMRI,Functional Magnetic Resonance Imaging,Imaging, Chemical Shift,Proton Spin Tomography,Spin Echo Imaging,Steady-State Free Precession MRI,Tomography, MR,Zeugmatography,Chemical Shift Imagings,Echo Imaging, Spin,Echo Imagings, Spin,Functional MRI,Functional MRIs,Image, Magnetic Resonance,Imaging, Magnetic Resonance,Imaging, NMR,Imaging, Spin Echo,Imagings, Chemical Shift,Imagings, Spin Echo,MRI Scan,MRIs, Functional,Magnetic Resonance Images,Resonance Image, Magnetic,Scan, MRI,Scans, MRI,Shift Imaging, Chemical,Shift Imagings, Chemical,Spin Echo Imagings,Steady State Free Precession MRI
D008875	Middle Aged	An adult aged 45 - 64 years.	Middle Age
D003558	Cystoscopy	Endoscopic examination, therapy or surgery of the urinary bladder.	Cystoscopic Surgical Procedures,Surgical Procedures, Cystoscopic,Cystoscopic Surgery,Surgery, Cystoscopic,Cystoscopic Surgeries,Cystoscopic Surgical Procedure,Cystoscopies,Procedure, Cystoscopic Surgical,Procedures, Cystoscopic Surgical,Surgeries, Cystoscopic,Surgical Procedure, Cystoscopic
D005260	Female		Females
D005500	Follow-Up Studies	Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.	Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D014014	Tissue Adhesives	Substances used to cause adherence of tissue to tissue or tissue to non-tissue surfaces, as for prostheses.	Adhesive, Tissue,Adhesives, Tissue,Tissue Adhesive
D014567	Urography	Radiography of any part of the URINARY TRACT.	Pyelography,Pyelogram,Urogram,Pyelograms,Pyelographies,Urograms,Urographies
D014719	Vesicovaginal Fistula	An abnormal anatomical passage between the URINARY BLADDER and the VAGINA.	Vesico-Vaginal Fistula,Vesico-Vaginal Fistulae,Vesicovaginal Fistulae,Fistula, Vesico-Vaginal,Fistula, Vesicovaginal,Fistulae, Vesico-Vaginal,Fistulae, Vesicovaginal,Fistulas, Vesico-Vaginal,Fistulas, Vesicovaginal,Vesico Vaginal Fistula,Vesico Vaginal Fistulae,Vesico-Vaginal Fistulas,Vesicovaginal Fistulas
D015552	Injections, Intralesional	Injections introduced directly into localized lesions.	Intralesional Injections,Injection, Intralesional,Intralesional Injection