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

Author

Listed:
  • 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
    Hospice of the Good Samaritan, Bernardyńska 11a, 20-109 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)

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.

Suggested Citation

  • Aleksandra Kołodyńska & Dominika Streit-Ciećkiewicz & Agata Kot & Iga Kuliniec & Konrad Futyma, 2021. "Radiation-Induced Recurrent Vesicovaginal Fistula—Treatment with Adjuvant Platelet-Rich Plasma Injection and Martius Flap Placement—Case Report and Review of Literature," IJERPH, MDPI, vol. 18(9), pages 1-7, May.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:9:p:4867-:d:548291
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