Urethroplasty and tension free mesh in urethrovaginal fistula. Case report

Authors

  • Luis Enrique Pérez Moreno Hospital Clínico Quirúrgico Universitario “Arnaldo Milán Castro”
  • Ernesto Romagosa Bermúdes Hospital Clínico Quirúrgico Universitario “Arnaldo Milán Castro”
  • Esther Gilda González Carmona Hospital Clínico Quirúrgico Universitario “Arnaldo Milán Castro”

Keywords:

urethrovaginal fistula, urethrocompression, uretrosuspension with tension-free mesh suburetraltransobturatrix, urethroplasty

Abstract

Urethrovaginal fistula is uncommon and its surgical treatment can be very challenging because of poor local tissue quality; two or more procedures may often be required, making it discouraging for many who use vaginal procedures with favorable results: urethro-compression, urethrosuspension, and urethroplasty. It is presented a female patient of 64 years old operated of rectocistocele and uterine prolapse with diagnosis of urethrovaginal fistula. Due to the history of urinary incontinence of stress  presented by the patient before surgery of the uterine prolapse since the fistula located in the proximal urethra or bladder neck the mechanism of continence may be compromised, it was decided to perform the repair of the urethrovaginal fistula with a technique successfully used in another patient who presented a fistulous trajectory between bladder trine and vagina and support this procedure with a urethrosuspension with mesh free of suburetral transobturator tension. The patient evolved satisfactorily, which supports the use of this surgical technique that was performed for the first time in this hospital.

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Author Biographies

Luis Enrique Pérez Moreno, Hospital Clínico Quirúrgico Universitario “Arnaldo Milán Castro”

Especialista de I Grado en Medicina General Integral y en Urología. Profesor Asistente de la Universidad de Ciencias Médicas de Villa Clara. Investigador Agregado.

Ernesto Romagosa Bermúdes, Hospital Clínico Quirúrgico Universitario “Arnaldo Milán Castro”

Especialista de I Grado en Urología. Profesor Instructor de la Universidad de Ciencias Médicas de Villa Clara.

Esther Gilda González Carmona, Hospital Clínico Quirúrgico Universitario “Arnaldo Milán Castro”

Especialista de I Grado en Urología. Profesora Auxiliar de la Universidad de Ciencias Médicas de Villa Clara. Investigadora Agregada.

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Published

2018-03-31

How to Cite

1.
Pérez Moreno LE, Romagosa Bermúdes E, González Carmona EG. Urethroplasty and tension free mesh in urethrovaginal fistula. Case report. Acta Méd Centro [Internet]. 2018 Mar. 31 [cited 2025 Jun. 27];12(2):184-91. Available from: https://revactamedicacentro.sld.cu/index.php/amc/article/view/930

Issue

Vol. 12 No. 2 (2018): April-June

Section

Case Reports

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