Services on Demand
Journal
Article
Indicators
- Cited by SciELO
- Access statistics
Related links
- Cited by Google
- Similars in SciELO
- Similars in Google
Share
Urología Colombiana
On-line version ISSN 2027-0119
Abstract
VILLALBA-BACHUR, Roberto F. et al. Laparoscopic urinary undiversion due to recurrent neobladder vaginal fistula: from orthotopic neobladder to ileal conduit. Urol. Colomb. [online]. 2023, vol.32, n.2, pp.32-35. Epub Apr 25, 2024. ISSN 2027-0119. https://doi.org/10.24875/ruc.23000001.
Objective:
Describe our experience in laparoscopie urinary undiversion due to recurrent neobladder vaginal fistula (NBVF).
Methods:
Retrospective review of patients who underwent laparoscopic urinary undiversion. Complications were characterized according to the Clavien classification. The Patient Global Impression of Improvement (PGII) questionnaire was used at one year of follow-up to assess the quality of life (QOL).
Results:
Three laparoscopic urinary undiversions, from orthotopic neobladder to ileal conduit. Two patients underwent laparoscopic cystectomy due to bladder cancer, and one open pelvic exenteration due to cervical cancer. All patients had received previous pelvic radiotherapy. Complications during the first 2 months were Clavien II (two patients). According to the PGII score, two patients felt "much better" and one felt "very much better.'
Conclusion:
Urinary undiversion is a last resort, complex procedure. Even though, it may be the only chance to improve QOL in patients with recurrent or unrepairable NBVF. A laparoscopic approach with neobladder resection, fistulectomy, and intracorporeal ileal conduit is feasible. Further studies are required to assess the best approach in the management of NBVF.
Keywords : Laparoscopy; Neobladder vaginal fistula; Quality of life; Urinary undiversion.