Cyanoacrylate injection in management of recurrent vesicovag
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Treatment of recurrent vesicovaginal fistula (VVF) is a major clinical problem. The most common cause of VVF in developing countries is neglected or obstructed labor. However, abdominal hysterectomy remains the most common cause of VVF in developed countries. Common approaches to VVF repair surgeries are a vaginal and abdominal route.We present a technique and special precautions taken during treatment of a small recurrent VVF with the help of combined cystoscopic and/or transvaginal injection of cyanoacrylate in two patients. Except for frequency of micturition in the first patient, postoperative follow-up was uneventful. Endoscopic management with cyanoacrylate is a simple and effective alternative to major reconstructive surgery...

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