Serviços Personalizados
Journal
Artigo
Indicadores
Citado por SciELO
Acessos
Links relacionados
Citado por Google
Similares em SciELO
Similares em Google
Compartilhar
Urología Colombiana
versão On-line ISSN 2027-0119
Resumo
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 25-Abr-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.
Palavras-chave : Laparoscopy; Neobladder vaginal fistula; Quality of life; Urinary undiversion.