{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T03:59:20Z","timestamp":1754020760256,"version":"3.40.4"},"reference-count":13,"publisher":"S. Karger AG","issue":"11-12","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Urol Int"],"published-print":{"date-parts":[[2020]]},"abstract":"<b><i>Purpose:<\/i><\/b> Correction of vesicovaginal fistula (VVF) using interpositional flaps is an established procedure. In open repair, omental flap gives good results. However, its availability in all the cases is questionable. We utilized our technique of doubly folded peritoneal flap and assessed the outcome of the repair. <b><i>Methods:<\/i><\/b> Retrospective observational study included 36 cases of open VVF repair, performed during 2010\u20132019. Preoperative clinical examination, cystoscopy, and imaging were performed routinely. Open transvesical repair as described by O\u2019Conor was performed and doubly folded peritoneal flap was utilized. Intra- and postoperative parameters were recorded. The outcome was assessed after 21 days of catheter removal. A minimum of 6 months of follow-up was done. <b><i>Results:<\/i><\/b> Mean age was 44 \u00b1 18 years, and 97.2% of VVF were iatrogenic, mainly after hysterectomy (75.0%) and caesarean section (22.2%). Fistula size ranged from 0.6 to 5.5 cm. Five cases had multiple fistulas and 3 cases were recurrent. Mean flap length and width were 8.0 \u00b1 2.4 and 5.1 \u00b1 1.1 cm, respectively. Mean operative time and estimated blood loss were 94 \u00b1 15 min and 155 \u00b1 45 mL, respectively. Fourteen of 36 patients developed complications of Clavien-Dindo grade I\/II. Thirty-five out of 36 cases (97.2%) were cured and remained dry for 6 months after surgery. Three cases reported de-novo urgency and were treated medically. Satisfaction level was good in 91.2% of cases. <b><i>Conclusion:<\/i><\/b> Transvesical repair using doubly folded peritoneal flap provides an excellent and durable outcome. It is a suitable alternative to the omental interpositional flap. <\/jats:p>","DOI":"10.1159\/000509446","type":"journal-article","created":{"date-parts":[[2020,9,8]],"date-time":"2020-09-08T21:00:57Z","timestamp":1599598857000},"page":"928-932","source":"Crossref","is-referenced-by-count":2,"title":["Modified Technique of Doubly Folded Peritoneal Flap Interposition in Transabdominal Vesicovaginal Fistula Repair: Our Experience of 36 Cases"],"prefix":"10.1159","volume":"104","author":[{"given":"Shashi Kant","family":"Tewary","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ranjit Kumar","family":"Das","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arpan","family":"Choudhary","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Supriyo","family":"Basu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ranjan Kumar","family":"Dey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2020,9,8]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-011-1622-x"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1159\/000499411"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22828"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1097\/SPV.0b013e3182830b67"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.5152\/tud.2019.85233"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.4103\/0974-7796.120305"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1159\/000475887"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-016-2989-5"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1159\/000452166"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000049723.57485.e7"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-016-3194-2"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2011.09.022"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410x.2003.04679.x"}],"container-title":["Urologia Internationalis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/509446","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/509446","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T15:47:06Z","timestamp":1745423226000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000509446"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020]]},"references-count":13,"journal-issue":{"issue":"11-12","published-online":{"date-parts":[[2020,11,16]]},"published-print":{"date-parts":[[2020,11,17]]}},"URL":"https:\/\/doi.org\/10.1159\/000509446","archive":["Portico"],"relation":{},"ISSN":["0042-1138","1423-0399"],"issn-type":[{"type":"print","value":"0042-1138"},{"type":"electronic","value":"1423-0399"}],"subject":[],"published":{"date-parts":[[2020]]}}}