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Retropubic repair of genitourinary fistula using a free supporting graft.

OBJECTIVE: To report the repair of genitourinary fistulae using a retropubic extraperitoneal transvesical approach using a support graft (free graft) from the anterior abdominal wall fat.

PATIENTS AND METHODS: In all, 26 women with genitourinary fistulae (25 with vesicovaginal and one uterovesical) were operated using the free graft method.

RESULTS: All patients had no leakage after surgery; while 15 developed urgency three had recurrent urinary tract infection and one developed a small bladder capacity.

CONCLUSION: This operation has the advantages of a short operative duration, an easy technique and fewer postoperative complications with a high success rate.

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