Comparative Study of Laparoscopic Combined Trans-vesical and Extravesical Versus Laparoscopic Extravesical Fistula Excision in Uterovesical Fistula Repair: A Retrospective Observational Study
NCT ID: NCT06803160
Last Updated: 2025-01-31
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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ENROLLING_BY_INVITATION
20 participants
OBSERVATIONAL
2025-01-30
2025-02-28
Brief Summary
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Detailed Description
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Conditions
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Study Design
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CASE_CONTROL
RETROSPECTIVE
Study Groups
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Laparoscopic Combined Fistula Excision of Uterovesical Fistula
Patinets who underwent Laparoscopic Combined Fistula Excision of Uterovesical Fistula
Laparoscopic Extravesical Fistula Excision of Uterovesical Fistula
• In extravesical approach, the posterior bladder wall and the anterior uterine wall around the fistula will be dissected. Scar tissue around the orifice of the fistula will be removed and trimmed. After suturing uterine and bladder wall, intervening omentum will be placed in-between.
Laparoscopic Combined Fistula Excision of Uterovesical Fistula
• In the combined approach, bladder will be opened bivalved till the site of the fistula. Scar tissue around the orifice of the fistula will be removed and trimmed. Careful dissection around the bladder and uterus will be done to suture both walls and place an intervening omentum in-between.
Interventions
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Laparoscopic Extravesical Fistula Excision of Uterovesical Fistula
• In extravesical approach, the posterior bladder wall and the anterior uterine wall around the fistula will be dissected. Scar tissue around the orifice of the fistula will be removed and trimmed. After suturing uterine and bladder wall, intervening omentum will be placed in-between.
Laparoscopic Combined Fistula Excision of Uterovesical Fistula
• In the combined approach, bladder will be opened bivalved till the site of the fistula. Scar tissue around the orifice of the fistula will be removed and trimmed. Careful dissection around the bladder and uterus will be done to suture both walls and place an intervening omentum in-between.
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
* Patients who refuse to participate in the study.
* Patients with concomitant pathology that could affect symptoms e.g., polycystic ovary disease, stress incontinence, bladder cancer or overactive bladder.
* Patients with malignant fistula.
FEMALE
Yes
Sponsors
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Ain Shams University
OTHER
Responsible Party
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Mahmoud Hossam
Mahmoud HossamEldin Saad Abdelhamid
Locations
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Ain Shams University
Cairo, , Egypt
Countries
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Other Identifiers
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Lap Uterovesical Fistula
Identifier Type: -
Identifier Source: org_study_id