Reconsidering Vesicovaginal Fistula Management | Urology Grand Rounds

Recorded live on December 5th, 2023

In this recorded Urology Grand Rounds presentation, Stanford Medicine female pelvic medicine & reconstructive surgery fellow Dr. Kelsey Gallo discusses the nuances of the most commonly seen obstetric fistula - vesicovaginal fistulas. Dr. Gallo begins by providing background on fistula formation and its commonality in both the US and worldwide. She then reviews the conditions clinical features and diagnostic methods used for detection. Next, she moves on to discuss fistula management to include the likelihood of spontaneous healing, effectiveness of catheterization and fibrin sealants and surgical options. Dr. Gallo then concludes her lecture with proactive measures to prevent vesicovaginal fistulas from forming.

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Learning Objectives:
1. Review the etiology and most common interventions for treatment of vesicovaginal fistulas.
2. Identify clinical features and diagnostic indicators.
3. Discuss the decision-making process to determine appropriateness of surgical and non-surgical intervention.
4. Identify measures to prevent the initial occurrence of vesicovaginal fistulas.

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