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Vaginal fistula

MedGen UID:
21812
•Concept ID:
C0042253
•
Anatomical Abnormality
Synonyms: Fistula, Vaginal; Fistulas, Vaginal; Vaginal Fistula; Vaginal Fistulas
SNOMED CT: Fistulous opening in vagina (45135002)
 
HPO: HP:0004320

Definition

The presence of a fistula of the vagina. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVVaginal fistula

Conditions with this feature

Oculogastrointestinal-neurodevelopmental syndrome
MedGen UID:
1779113
•Concept ID:
C5543355
•
Disease or Syndrome
Oculogastrointestinal neurodevelopmental syndrome (OGIN) is characterized by microphthalmia and/or coloboma in association with other congenital anomalies, including imperforate anus, horseshoe kidney, and structural cardiac defects. Hearing loss and severe developmental delay are also observed in most patients (Zha et al., 2020; Mor-Shaked et al., 2021).
See: Condition Record
Oculogastrointestinal-neurodevelopmental syndrome

Professional guidelines

PubMed

Uretero-vaginal fistulas - clinical presentation, treatment and literature overview.
Pyra K, Szmygin M, Szmygin H, Jargiello T, Rechberger T, Wozniak S
Ginekol Pol 2022;93(6):501-505. Epub 2022 Mar 22 doi: 10.5603/GP.a2021.0240. PMID: 35315024
Updates in the treatment of vaginal cancer.
Jhingran A
Int J Gynecol Cancer 2022 Mar;32(3):344-351. doi: 10.1136/ijgc-2021-002517. PMID: 35256422Free PMC Article
Treatment-seeking for vaginal fistula in sub-Saharan Africa.
Gebremedhin S, Asefa A
PLoS One 2019;14(11):e0216763. Epub 2019 Nov 1 doi: 10.1371/journal.pone.0216763. PMID: 31675379Free PMC Article

Recent clinical studies

Etiology

Female urinary incontinence in sub-Saharan Africa.
Whiting D, Shane AI, Pope R, Payne S, Venn S
BJU Int 2022 Nov;130(5):543-549. Epub 2022 Oct 10 doi: 10.1111/bju.15903. PMID: 36161452
Vesico-Vaginal Fistula in Females in 2010-2020: a Systemic Review and Meta-analysis.
Shrestha DB, Budhathoki P, Karki P, Jha P, Mainali G, Dangal G, Baral G, Shrestha M, Gyawali P
Reprod Sci 2022 Dec;29(12):3346-3364. Epub 2022 Jan 3 doi: 10.1007/s43032-021-00832-8. PMID: 34981462
Vesico-Vaginal Fistula: Nature and Evidence-Based Minimally Invasive Surgical Treatment.
Smith AV, Cabrera R, Kondo W, Zomer MT, Ferreira H
Surg Technol Int 2019 Nov 10;35:189-198. PMID: 31687782
Neobladder-Vaginal Fistula: Surgical Management Techniques.
Kaufman MR
Curr Urol Rep 2019 Oct 10;20(11):67. doi: 10.1007/s11934-019-0934-0. PMID: 31599353
Anorectal malformations.
Peña A
Semin Pediatr Surg 1995 Feb;4(1):35-47. PMID: 7728507

Diagnosis

Updates in the treatment of vaginal cancer.
Jhingran A
Int J Gynecol Cancer 2022 Mar;32(3):344-351. doi: 10.1136/ijgc-2021-002517. PMID: 35256422Free PMC Article
Vesico-Vaginal Fistula: Nature and Evidence-Based Minimally Invasive Surgical Treatment.
Smith AV, Cabrera R, Kondo W, Zomer MT, Ferreira H
Surg Technol Int 2019 Nov 10;35:189-198. PMID: 31687782
Neobladder-Vaginal Fistula: Surgical Management Techniques.
Kaufman MR
Curr Urol Rep 2019 Oct 10;20(11):67. doi: 10.1007/s11934-019-0934-0. PMID: 31599353
Robot-Assisted Vesico-Vaginal Fistula Repair: Our Technique and Review of the Literature.
Matei DV, Zanagnolo V, Vartolomei MD, Crisan N, Ferro M, Bocciolone L, Maggioni A, Coman I, de Cobelli O
Urol Int 2017;99(2):137-142. Epub 2017 Jul 26 doi: 10.1159/000475887. PMID: 28743109
Urogenital fistula.
Wong MJ, Wong K, Rezvan A, Tate A, Bhatia NN, Yazdany T
Female Pelvic Med Reconstr Surg 2012 Mar-Apr;18(2):71-8; quiz 78. doi: 10.1097/SPV.0b013e318249bd20. PMID: 22453314

Therapy

Vesico-Vaginal Fistula in Females in 2010-2020: a Systemic Review and Meta-analysis.
Shrestha DB, Budhathoki P, Karki P, Jha P, Mainali G, Dangal G, Baral G, Shrestha M, Gyawali P
Reprod Sci 2022 Dec;29(12):3346-3364. Epub 2022 Jan 3 doi: 10.1007/s43032-021-00832-8. PMID: 34981462
Neobladder-Vaginal Fistula: Surgical Management Techniques.
Kaufman MR
Curr Urol Rep 2019 Oct 10;20(11):67. doi: 10.1007/s11934-019-0934-0. PMID: 31599353
Robot-Assisted Vesico-Vaginal Fistula Repair: Our Technique and Review of the Literature.
Matei DV, Zanagnolo V, Vartolomei MD, Crisan N, Ferro M, Bocciolone L, Maggioni A, Coman I, de Cobelli O
Urol Int 2017;99(2):137-142. Epub 2017 Jul 26 doi: 10.1159/000475887. PMID: 28743109
Urogenital fistula.
Wong MJ, Wong K, Rezvan A, Tate A, Bhatia NN, Yazdany T
Female Pelvic Med Reconstr Surg 2012 Mar-Apr;18(2):71-8; quiz 78. doi: 10.1097/SPV.0b013e318249bd20. PMID: 22453314
Perianal Crohn's disease.
Singh B, McC Mortensen NJ, Jewell DP, George B
Br J Surg 2004 Jul;91(7):801-14. doi: 10.1002/bjs.4613. PMID: 15227686

Prognosis

Vesico-vaginal fistula in Tunisia: Epidemiology and risk factors of treatment failure.
Zaghbib S, Chakroun M, Saadi A, Boussaffa H, Bouzouita A, Derouiche A, Ben Slama MR, Ayed H, Chebil M
Prog Urol 2021 Dec;31(17):1175-1181. Epub 2021 Oct 13 doi: 10.1016/j.purol.2021.09.006. PMID: 34656449
Urogenital fistula.
Wong MJ, Wong K, Rezvan A, Tate A, Bhatia NN, Yazdany T
Female Pelvic Med Reconstr Surg 2012 Mar-Apr;18(2):71-8; quiz 78. doi: 10.1097/SPV.0b013e318249bd20. PMID: 22453314
Perianal Crohn's disease.
Singh B, McC Mortensen NJ, Jewell DP, George B
Br J Surg 2004 Jul;91(7):801-14. doi: 10.1002/bjs.4613. PMID: 15227686
Anorectal malformations.
Peña A
Semin Pediatr Surg 1995 Feb;4(1):35-47. PMID: 7728507
Imperforate anus.
Adkins JC, Kiesewetter WB
Surg Clin North Am 1976 Apr;56(2):379-94. doi: 10.1016/s0039-6109(16)40884-4. PMID: 1265603

Clinical prediction guides

Vesico-vaginal fistula in Tunisia: Epidemiology and risk factors of treatment failure.
Zaghbib S, Chakroun M, Saadi A, Boussaffa H, Bouzouita A, Derouiche A, Ben Slama MR, Ayed H, Chebil M
Prog Urol 2021 Dec;31(17):1175-1181. Epub 2021 Oct 13 doi: 10.1016/j.purol.2021.09.006. PMID: 34656449
Vesico-Vaginal Fistula Repair by a Vaginal Approach.
Colenbrander J, Heesakkers J, Martens F
Urol Int 2021;105(11-12):1113-1118. Epub 2021 Sep 28 doi: 10.1159/000519369. PMID: 34583358
Henry van Roonhuyse and the first repair of a vesico-vaginal fistula (~1676).
Wall LL
Int Urogynecol J 2020 Feb;31(2):237-241. Epub 2019 Dec 5 doi: 10.1007/s00192-019-04158-7. PMID: 31807799
Complex obstetric fistulas.
Genadry RR, Creanga AA, Roenneburg ML, Wheeless CR
Int J Gynaecol Obstet 2007 Nov;99 Suppl 1:S51-6. Epub 2007 Aug 31 doi: 10.1016/j.ijgo.2007.06.026. PMID: 17765241
Perianal Crohn's disease.
Singh B, McC Mortensen NJ, Jewell DP, George B
Br J Surg 2004 Jul;91(7):801-14. doi: 10.1002/bjs.4613. PMID: 15227686

Recent systematic reviews

Repair of Vesicovaginal Fistulae: A Systematic Review.
Thompson JC, Halder GE, Jeppson PC, Alas A, Balgobin S, Dieter AA, Houlihan S, Miranne J, Sleemi A, Balk EM, Mama S, Meriwether KV, Antosh DD
Obstet Gynecol 2024 Feb 1;143(2):229-241. Epub 2023 Nov 30 doi: 10.1097/AOG.0000000000005468. PMID: 38033311
Management strategies and outcome of ureterovaginal fistulae: A systematic review and meta-analysis.
Bahuguna G, Panwar VK, Mittal A, Talwar HS, Mandal AK, Bhadoria AS, Chapple C
Neurourol Urodyn 2022 Feb;41(2):562-572. Epub 2022 Jan 15 doi: 10.1002/nau.24874. PMID: 35032348
Vesico-Vaginal Fistula in Females in 2010-2020: a Systemic Review and Meta-analysis.
Shrestha DB, Budhathoki P, Karki P, Jha P, Mainali G, Dangal G, Baral G, Shrestha M, Gyawali P
Reprod Sci 2022 Dec;29(12):3346-3364. Epub 2022 Jan 3 doi: 10.1007/s43032-021-00832-8. PMID: 34981462
Robot-Assisted Vesico-Vaginal Fistula Repair: Our Technique and Review of the Literature.
Matei DV, Zanagnolo V, Vartolomei MD, Crisan N, Ferro M, Bocciolone L, Maggioni A, Coman I, de Cobelli O
Urol Int 2017;99(2):137-142. Epub 2017 Jul 26 doi: 10.1159/000475887. PMID: 28743109
Gracilis muscle interposition for rectovaginal and anovaginal fistula repair: a systematic literature review.
Hotouras A, Ribas Y, Zakeri S, Murphy J, Bhan C, Chan CL
Colorectal Dis 2015 Feb;17(2):104-10. doi: 10.1111/codi.12791. PMID: 25284745

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