Radiation-Induced Recurrent Vesicovaginal Fistula—Treatment with Adjuvant Platelet-Rich Plasma Injection and Martius Flap Placement—Case Report and Review of Literature

Aleksandra Kołodyńska, Dominika Streit-Ciećkiewicz, Agata Kot, Iga Kuliniec and Konrad Futyma
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Aleksandra Kołodyńska: 2nd Department of Gynecology, Medical University in Lublin, Jaczewskiego 8, 20-954 Lublin, Poland
Dominika Streit-Ciećkiewicz: 2nd Department of Gynecology, Medical University in Lublin, Jaczewskiego 8, 20-954 Lublin, Poland
Agata Kot: Healthcare Centre of St. John of God Independent Public Provincial Hospital in Lublin, Biernackiego 9, 20-400 Lublin, Poland
Iga Kuliniec: Department of Urology and Oncological Urology, Medical University in Lublin, Jaczewskiego 8, 20-954 Lublin, Poland
Konrad Futyma: 2nd Department of Gynecology, Medical University in Lublin, Jaczewskiego 8, 20-954 Lublin, Poland

IJERPH, 2021, vol. 18, issue 9, 1-7

Abstract: Vesicovaginal fistula is the non-physiological connection between the urinary bladder and vagina. This results in continuous urine leakage. In developed countries, the prevalence of this condition is low and affects (mainly) women with a history of gynaecological procedures or radiotherapy. The aim of this study was to present the therapeutic process of a patient with radiation-induced, recurrent vesicovaginal fistula. The thirty-eight-year-old patient underwent radical hysterectomy with follow-up radiotherapy due to cervical cancer. Five years after the therapy, she was diagnosed with vesicovaginal fistula. After two unsuccessful Latzko procedures and two adjuvant platelet-rich plasma injections, a third Latzko reconstructive surgery was performed with additional transposition of the Martius flap—with successful closure of the fistula.

Keywords: vesicovaginal fistula; urogenital fistula; incontinence; radiation; Martius flap; platelet-rich plasma (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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