ABSTRACT
Recurrent vesicovaginal fistulae represent a clinical problem of the utmost importance due to the impact on the patients’ quality of life. The current standard of treatment for this problem is surgical, with an abdominal approach, notwithstanding, may authors state that this repair should be done with the technique and approach that the surgeon feels most comfortable. We have successfully treated two patients with recurrent vesicovaginal fistulae using a vaginal approach, therefore we suggest it as a viable alternative in the treatment of this condition. We present two case reports an literature review, with the necessary modifications of the Latzko technique.
Key words: recurrent vesicovaginal fistulae, Latzko surgery.
RÉSUMÉ
Fistules vésico-vaginales récurrentes sont un problème clinique avec effet significatif sur la qualité de vie du patient. La littérature recommande l’approche abdominale, mais de nombreux textes mentionnent également que la voie de réparation devraient être les meilleurs et de dominer le chirurgien avec qui vous êtes le plus familier. Nous proposons les deux rapports vaginaux et des cas avec succès chirurgical et d’examiner la question, la technique Latzko et de ses modifications.
Mots-clés: VVF récurrent, Latzko technique.
RESUMO
Recorrentes fístula urogenital são um problema clínico com efeito significativo na qualidade de vida do paciente. A literatura recomenda a abordagem abdominal, mas muitos textos também mencionam que a via de reparo deve ser o melhor e dominar o cirurgião com quem você está mais familiarizado. Propomos os vaginais e dois relatórios de casos com sucesso cirúrgico e rever a questão, a técnica Latzko e suas modificações.
Palavras-chave: VVF recorrente, técnica Latzko.
