Transabdominal and transvaginal repair of vesico-vaginal fistula with bovine pericardium (Tutopatch®). A double case report
Vesico-vaginal fistula (VVF) is an abnormal connection between the bladder and vagina, usually occurring after complex oncologic gynecologic surgeries. It typically presents as continuous urinary incontinence and is diagnosed through clinical examination, imaging, and cystoscopy. Conservative manage...
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| Language: | English |
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Elsevier
2025-09-01
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| Series: | Urology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214442025001883 |
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| author | Dario Del Biondo Dante Di Domenico Giorgio Napodano Marco Grillo Felice Crocetto Biagio Barone |
| author_facet | Dario Del Biondo Dante Di Domenico Giorgio Napodano Marco Grillo Felice Crocetto Biagio Barone |
| author_sort | Dario Del Biondo |
| collection | DOAJ |
| description | Vesico-vaginal fistula (VVF) is an abnormal connection between the bladder and vagina, usually occurring after complex oncologic gynecologic surgeries. It typically presents as continuous urinary incontinence and is diagnosed through clinical examination, imaging, and cystoscopy. Conservative management rarely achieves healing, making surgical repair the preferred option. We report two cases of VVF treated with Tutopatch®, a bovine pericardium-derived graft, used as an interposition graft via transabdominal and transvaginal approaches. Tutopatch® avoids the morbidity of autologous tissue harvesting and offers a feasible, safe, and effective alternative. It should be considered a valuable option in the surgical management of complex VVF. |
| format | Article |
| id | doaj-art-9e86f113a4f748a48dd72f5b8cfcc25d |
| institution | Kabale University |
| issn | 2214-4420 |
| language | English |
| publishDate | 2025-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Urology Case Reports |
| spelling | doaj-art-9e86f113a4f748a48dd72f5b8cfcc25d2025-08-20T03:50:07ZengElsevierUrology Case Reports2214-44202025-09-016210311710.1016/j.eucr.2025.103117Transabdominal and transvaginal repair of vesico-vaginal fistula with bovine pericardium (Tutopatch®). A double case reportDario Del Biondo0Dante Di Domenico1Giorgio Napodano2Marco Grillo3Felice Crocetto4Biagio Barone5Department of Urology, ASL NA1 Centro “Ospedale San Paolo”, 80125, Naples, ItalyDepartment of Urology, ASL NA1 Centro “Ospedale San Paolo”, 80125, Naples, ItalyDepartment of Urology, ASL NA3 Sud “Ospedale San Leonardo”, 80053, Castellammare di Stabida (NA), ItalyDepartment of Urology, ASL NA1 Centro “Ospedale del Mare”, 80147, Naples, ItalyDepartment of Neurosciences, Sciences of Reproduction and Odontostomatology, University of Naples Federico II, Naples, 80131, ItalyDepartment of Urology, ASL NA1 Centro “Ospedale San Paolo”, 80125, Naples, Italy; Corresponding author.Vesico-vaginal fistula (VVF) is an abnormal connection between the bladder and vagina, usually occurring after complex oncologic gynecologic surgeries. It typically presents as continuous urinary incontinence and is diagnosed through clinical examination, imaging, and cystoscopy. Conservative management rarely achieves healing, making surgical repair the preferred option. We report two cases of VVF treated with Tutopatch®, a bovine pericardium-derived graft, used as an interposition graft via transabdominal and transvaginal approaches. Tutopatch® avoids the morbidity of autologous tissue harvesting and offers a feasible, safe, and effective alternative. It should be considered a valuable option in the surgical management of complex VVF.http://www.sciencedirect.com/science/article/pii/S2214442025001883Vesico-vaginal fistulaTransabdominalTransvaginalTutopatch® |
| spellingShingle | Dario Del Biondo Dante Di Domenico Giorgio Napodano Marco Grillo Felice Crocetto Biagio Barone Transabdominal and transvaginal repair of vesico-vaginal fistula with bovine pericardium (Tutopatch®). A double case report Urology Case Reports Vesico-vaginal fistula Transabdominal Transvaginal Tutopatch® |
| title | Transabdominal and transvaginal repair of vesico-vaginal fistula with bovine pericardium (Tutopatch®). A double case report |
| title_full | Transabdominal and transvaginal repair of vesico-vaginal fistula with bovine pericardium (Tutopatch®). A double case report |
| title_fullStr | Transabdominal and transvaginal repair of vesico-vaginal fistula with bovine pericardium (Tutopatch®). A double case report |
| title_full_unstemmed | Transabdominal and transvaginal repair of vesico-vaginal fistula with bovine pericardium (Tutopatch®). A double case report |
| title_short | Transabdominal and transvaginal repair of vesico-vaginal fistula with bovine pericardium (Tutopatch®). A double case report |
| title_sort | transabdominal and transvaginal repair of vesico vaginal fistula with bovine pericardium tutopatch r a double case report |
| topic | Vesico-vaginal fistula Transabdominal Transvaginal Tutopatch® |
| url | http://www.sciencedirect.com/science/article/pii/S2214442025001883 |
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