March 23, 2026 · International urogynecology journal · DOI: 10.1007/s00192-026-06580-0

Urogenital Fistulas: Surgical Management, Outcomes, and Prognostic Factors: A 14-Year Monocentric Experience

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This study investigates the management and outcomes of urogenital fistulas, particularly vesicovaginal fistulas (VVF), in a tertiary referral center over a 14-year period. The authors found that VVF repair has a high primary success rate of 89.7%, but identified prior radiotherapy, oncological etiology, and longer surgical delays as significant predictors of surgical failure. These findings emphasize the need for early referral and a multidisciplinary approach to improve patient outcomes.

Claire Zhang, Christian Saussine, Thibault Tricard

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