Complex Radiation-Induced Vesicovaginal Fistula: Bladder as Spontaneous Vaginal Augmentation and Continent Urinary Diversion

Radiation-induced vesicovaginal fistula (RVVF) is a severe late complication of pelvic radiotherapy, characterized by tissue fibrosis, ischemia, and poor healing capacity [ 1 , 2 ]. In cases involving bilateral ureteral compromise and total destruction of the urethral sphincter mechanism, conventional reconstructive repairs are often unfeasible, requiring continent urinary diversion [ 3 ].

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Publication Details

Journal
International Urogynecology Journal
Published
2026-08-27
DOI
https://doi.org/10.1007/s00192-026-06864-5
Primary Topic
Ureteral procedures and complications
Type
article
Field-Weighted Citation Impact
0.00

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article

Complex Radiation-Induced Vesicovaginal Fistula: Bladder as Spontaneous Vaginal Augmentation and Continent Urinary Diversion

Luís Gustavo Morato de Toledo, Gabriel Branquinho Pedone, João Victor Braz Mariano Scarpa Pereira
International Urogynecology Journal
Ureteral procedures and complications
article

Complex Radiation-Induced Vesicovaginal Fistula: Bladder as Spontaneous Vaginal Augmentation and Continent Urinary Diversion

Luís Gustavo Morato de Toledo, Gabriel Branquinho Pedone, João Victor Braz Mariano Scarpa Pereira
article en

Abstract

Radiation-induced vesicovaginal fistula (RVVF) is a severe late complication of pelvic radiotherapy, characterized by tissue fibrosis, ischemia, and poor healing capacity [ 1 , 2 ]. In cases involving bilateral ureteral compromise and total destruction of the urethral sphincter mechanism, conventional reconstructive repairs are often unfeasible, requiring continent urinary diversion [ 3 ].

International Urogynecology Journal
Irmandade da Santa Casa de Misericórdia de São Paulo (BR), Faculdade de Ciências Médicas da Santa Casa de São Paulo (BR)
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
No poverty
Openalex Percentile: Top 8%
Ureteral procedures and complications
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