Document Detail


Extrasphincteric perianal fistulae after sacrospinous fixation for apical prolapse.
MedLine Citation:
PMID:  21252781     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: : Delayed extrasphincteric perianal fistulae may be encountered after sacrospinous vaginal vault suspension or hysteropexy with permanent sutures.
CASES: : We report two cases of extrasphincteric perianal fistulae: one after a sacrospinous vaginal vault suspension and one after a sacropsinous hysteropexy. Reproduction of the vaginal dissection performed to place the sacrospinous fixation sutures failed to expose the sutures, and the fistulae persisted. Perianal fistulotomy and fistulectomy, however, resulted in identification and excision of the sutures.
CONCLUSION: : Perianal fistulotomy or fistulectomy offers the most successful approach to identifying the inciting sutures.
Authors:
Adam Gafni-Kane; Roger P Goldberg; James S Spitz; Peter K Sand
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  117     ISSN:  1873-233X     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-01-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  438-40     Citation Subset:  AIM; IM    
Affiliation:
From the Evanston Continence Center, Department of Obstetrics and Gynecology, Division of Urogynecology, and the Department of General Surgery, Division of Colorectal Surgery, NorthShore University Healthsystem, University of Chicago Pritzker School of Medicine, Evanston, Illinois.
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