UroToday.com - Vesicovaginal fistula has been a medical and social problem and remains a surgical challenge, especially when it requires re-operation, presents large size, involves the ureter and is associated with radiotherapy. In this paper, we describe our experience with complex urogenital fistulas. We retrospectively evaluated patients with complex vesico vaginal fistulas, including those with fistula size greater than 2 cm, previous history of radiotherapy, infectious or laceration at the fistula site and vesicovaginal fistula associated with ureteral fistula...
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