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Fistula Repair

Genitourinary fistula repair is organized by the tracts involved (bladder–vagina, ureter–vagina, urethra–vagina, vesicouterine, rectovaginal, rectourethral, urethrocutaneous, urethroperineal) and by the surgical approach that reaches them best. Four decisions recur: route (transvaginal, transabdominal, transperineal, transanal or combined), timing (immediate, early or delayed), need for an interposition flap (none, Martius, gracilis or omentum), and need for protective diversion. The female and male sections cover common anatomical presentations. The All Patients section covers shared and less common fistula sites.

General Principles​

Decision Framework & Treatment Database​

  • Female Fistula RepairRepair of vesicovaginal, ureterovaginal, rectovaginal and other female fistulas, with a searchable technique database.
  • Male Fistula RepairRepair of rectourethral, colovesical and other male fistulas, with a searchable technique database.
  • Fistula Repair (All Patients)Repair of fistulas that occur in any patient, such as colovesical and ureteroarterial, with a searchable technique database.