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Urinary fistula

MedGen UID:
52941
•Concept ID:
C0042021
•
Disease or Syndrome
Synonyms: Fistula, Urinary; Fistulas, Urinary; Urinary Fistula; Urinary Fistulas
SNOMED CT: Urological fistula (57243009); Urinary fistula (57243009)

Definition

An abnormal communication between any part of the urinary system and another organ or cavity. [from NCI]

Professional guidelines

PubMed

Management of Urosymphyseal Fistula and Pelvic Osteomyelitis: A Comprehensive Institutional Experience and Improvements in Pain Control.
Anele UA, Wood HM, Angermeier KW
Eur Urol Focus 2022 Jul;8(4):1110-1116. Epub 2021 Sep 1 doi: 10.1016/j.euf.2021.08.008. PMID: 34479839
Conservative treatment for urinary fistula following ileal conduit urinary diversion: a simple method.
Ye YL, Liang HT, Tan L, Zheng X, Xiong D, Xiao KH, Qin ZK
BMC Urol 2019 Dec 10;19(1):131. doi: 10.1186/s12894-019-0564-3. PMID: 31823766Free PMC Article
Current management issues of immediate postoperative care in pediatric kidney transplantation.
Torricelli FC, Watanabe A, David-Neto E, Nahas WC
Clinics (Sao Paulo) 2014;69 Suppl 1(Suppl 1):39-41. doi: 10.6061/clinics/2014(sup01)07. PMID: 24860857Free PMC Article

Recent clinical studies

Etiology

Complex Lower Genitourinary Fistula Repair: Rectourethral Fistula and Puboprostatic Fistula.
Campbell JG, Vanni AJ
Urol Clin North Am 2022 Aug;49(3):553-565. Epub 2022 Jun 27 doi: 10.1016/j.ucl.2022.04.012. PMID: 35931443
Endovascular therapy of arterioureteral fistulas.
Augustin AM, Torre GD, Kocot A, Bley TA, Kalogirou C, Kickuth R
Vasa 2021 Apr;50(3):193-201. Epub 2020 Nov 3 doi: 10.1024/0301-1526/a000922. PMID: 33140697
Ureteral Interventions.
Herr A, Malhotra A, White M, Siskin G
Tech Vasc Interv Radiol 2016 Sep;19(3):182-93. Epub 2016 Jun 4 doi: 10.1053/j.tvir.2016.06.003. PMID: 27641452
Ureteroarterial fistula.
McCullough MC, Oh EE, Lucci JA 3rd, Alvarez EA
J Obstet Gynaecol 2012 Oct;32(7):617-20. doi: 10.3109/01443615.2012.690788. PMID: 22943703
Anorectal malformations.
Peña A
Semin Pediatr Surg 1995 Feb;4(1):35-47. PMID: 7728507

Diagnosis

Ureteral Interventions.
Herr A, Malhotra A, White M, Siskin G
Tech Vasc Interv Radiol 2016 Sep;19(3):182-93. Epub 2016 Jun 4 doi: 10.1053/j.tvir.2016.06.003. PMID: 27641452
Rectourethral Fistula Management.
Ramírez-Martín D, Jara-Rascón J, Renedo-Villar T, Hernández-Fernández C, Lledó-García E
Curr Urol Rep 2016 Mar;17(3):22. doi: 10.1007/s11934-016-0578-2. PMID: 26874534
Ureteroarterial fistula: diagnosis and management.
Pillai AK, Anderson ME, Reddick MA, Sutphin PD, Kalva SP
AJR Am J Roentgenol 2015 May;204(5):W592-8. doi: 10.2214/AJR.14.13405. PMID: 25905967
Ureteroarterial fistula.
McCullough MC, Oh EE, Lucci JA 3rd, Alvarez EA
J Obstet Gynaecol 2012 Oct;32(7):617-20. doi: 10.3109/01443615.2012.690788. PMID: 22943703
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

Iliac-Ileal Conduit Fistula.
Coello Torà I, Martínez Moreno AI, Guimerà García J, de la Cruz Ruíz M, Pieras Ayala EC
Vasc Endovascular Surg 2019 Nov;53(8):662-664. Epub 2019 Aug 11 doi: 10.1177/1538574419869075. PMID: 31401941
Selective versus routine use of episiotomy for vaginal birth.
Jiang H, Qian X, Carroli G, Garner P
Cochrane Database Syst Rev 2017 Feb 8;2(2):CD000081. doi: 10.1002/14651858.CD000081.pub3. PMID: 28176333Free PMC Article
Ureteral Interventions.
Herr A, Malhotra A, White M, Siskin G
Tech Vasc Interv Radiol 2016 Sep;19(3):182-93. Epub 2016 Jun 4 doi: 10.1053/j.tvir.2016.06.003. PMID: 27641452
Rectourethral Fistula Management.
Ramírez-Martín D, Jara-Rascón J, Renedo-Villar T, Hernández-Fernández C, Lledó-García E
Curr Urol Rep 2016 Mar;17(3):22. doi: 10.1007/s11934-016-0578-2. PMID: 26874534
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

Prognosis

Ureteral Interventions.
Herr A, Malhotra A, White M, Siskin G
Tech Vasc Interv Radiol 2016 Sep;19(3):182-93. Epub 2016 Jun 4 doi: 10.1053/j.tvir.2016.06.003. PMID: 27641452
Ureteroarterial fistula: A review of the literature.
Das A, Lewandoski P, Laganosky D, Walton J, Shenot P
Vascular 2016 Apr;24(2):203-7. Epub 2015 May 13 doi: 10.1177/1708538115585261. PMID: 25972027
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
Urinary fistula.
Menefee SA, Elkins T
Curr Opin Obstet Gynecol 1996 Oct;8(5):380-3. PMID: 8941439
Anorectal malformations.
Peña A
Semin Pediatr Surg 1995 Feb;4(1):35-47. PMID: 7728507

Clinical prediction guides

Ureteral Stenosis and Fistula after Kidney Transplantation.
Santos Pérez de la Blanca R, Medina-Polo J, Peña-Vallejo H, Juste-Álvarez S, Pamplona-Casamayor M, Duarte-Ojeda JM, Miranda Utrera N, García-González L, Arrébola-Pajares A, Rodríguez Antolín A, Tejido-Sánchez Á
Urol Int 2023;107(2):157-164. Epub 2022 Apr 25 doi: 10.1159/000523690. PMID: 35468605
Selective versus routine use of episiotomy for vaginal birth.
Jiang H, Qian X, Carroli G, Garner P
Cochrane Database Syst Rev 2017 Feb 8;2(2):CD000081. doi: 10.1002/14651858.CD000081.pub3. PMID: 28176333Free PMC Article
Ureteral Interventions.
Herr A, Malhotra A, White M, Siskin G
Tech Vasc Interv Radiol 2016 Sep;19(3):182-93. Epub 2016 Jun 4 doi: 10.1053/j.tvir.2016.06.003. PMID: 27641452
Laparoscopic Pyeloplasty: Always Dismembered?
Amón Sesmero JH, Delgado MC, de la Cruz Martín B, Serrano MR, Mainez Rodríguez JA, Tapia Herrero AM
J Endourol 2016 Jul;30(7):778-82. Epub 2016 Jun 16 doi: 10.1089/end.2015.0800. PMID: 26976065
Ureteroarterial fistula: A review of the literature.
Das A, Lewandoski P, Laganosky D, Walton J, Shenot P
Vascular 2016 Apr;24(2):203-7. Epub 2015 May 13 doi: 10.1177/1708538115585261. PMID: 25972027

Recent systematic reviews

Uro-symphyseal Fistula: A Systematic Review to Inform a Contemporary, Evidence-based Management Framework.
Patel N, Mehawed G, Dunglison N, Esler R, Navaratnam A, Yaxley J, Chung E, Tse V, Roberts MJ
Urology 2023 Aug;178:1-8. Epub 2023 May 12 doi: 10.1016/j.urology.2023.05.002. PMID: 37182647
Systematic review on active treatment for urinary fistula after partial nephrectomy.
Massouh Skorin R, Mahfouz A, Escovar la Riva P
Actas Urol Esp (Engl Ed) 2022 Sep;46(7):387-396. Epub 2022 Jun 30 doi: 10.1016/j.acuroe.2022.06.004. PMID: 35780049
Arterio-Ureteral Fistula: Systematic Review of 445 Patients.
Kamphorst K, Lock TMTW, van den Bergh RCN, Moll FL, de Vries JPM, Lo RTH, de Kort GAP, Bruijnen RCG, Dik P, Horenblas S, de Kort LMO
J Urol 2022 Jan;207(1):35-43. Epub 2021 Sep 23 doi: 10.1097/JU.0000000000002241. PMID: 34555933
Endovascular Management of Ureteroarterial Fistula: Single Institution Experience and Systematic Literature Review.
Subiela JD, Balla A, Bollo J, Dilme JF, Soto Carricas B, Targarona EM, Rodriguez-Faba O, Breda A, Palou J
Vasc Endovascular Surg 2018 May;52(4):275-286. Epub 2018 Feb 26 doi: 10.1177/1538574418761721. PMID: 29482486
Selective versus routine use of episiotomy for vaginal birth.
Jiang H, Qian X, Carroli G, Garner P
Cochrane Database Syst Rev 2017 Feb 8;2(2):CD000081. doi: 10.1002/14651858.CD000081.pub3. PMID: 28176333Free PMC Article

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