2013 Annual Meeting-An Improved Urinary Drainage Device for Management of Vesicovaginal Fistula

An Improved Urinary Drainage Device for Management of Vesicovaginal Fistula - Video

Video Transcription

Video Summary

This video discusses the development and complications of vesicovaginal fistulas in women, particularly after total abdominal hysterectomy. The usual location of posthysterectomy fistulas is the vaginal cuff, which corresponds to the supratrigonal area between the ureters in the bladder. To temporarily alleviate urine leakage before repair, a device described by Nichols is often used. However, it has the disadvantage of requiring the diaphragm to be almost full before urine can be drained. A modified technique involves using a 5 mm punch biopsy, a 22 French malicot drain, and a contraceptive diaphragm. This device has a lower drainage hole, reducing urine accumulation and leakage. It can be worn until the surgical repair is optimal. No credit is given in the transcript.

Meta Tag

Category surgical video

Category fistula-vesicovaginal

Category surgery

Category Novel Therapies - Techniques

Category fistula

Category PFD Week 2013

Session 182177

Keywords

vesicovaginal fistulas

women

total abdominal hysterectomy

urine leakage

surgical repair