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T Beráts

Publications and source records attributed to T Beráts.

4 recordsLinked to original sources
PubMed1992

Urovaginal fistulas: experience with the management of 41 cases.

In a retrospective analysis the authors have evaluated their experience with the management of urovaginal fistulas in 41 patients. Of them 34 had vesicovaginal, 3 ureterovaginal, 2 urethrovaginal, 1 ureterovesicovaginal and 1 ileovasicorectovaginal fistula. Fistulas occurred most frequently after gynaecological operations for benign and malignant diseases and after radiotherapy. Reconstructive operations were performed in 37 patients, mostly from the vaginal approach. Primary repair of fistulas was successful in 35 patients. In 2 patients reoperation was required. Due to good experience the authors recommend the transvaginal approach, which in their opinion is suitable for repair of the prevailing part of vesicovaginal fistulas.

Adult↗
PubMed1992

[Treatment of vesicovaginal fistulas].

The authors evaluated in a retrospective analysis their experience with treatment of vesicovaginal fistulae in 36 patients. Most frequently--almost in 90%--the fistulae developed after a gynaecological operation, in particular surgery on account of benign, but also malignant disease. The authors used for surgical correction of the fistulae a transvaginal approach in 28 (77.8%) patients, a transvesical approach in 5 (13.9%) patients and a transvesical and transperitoneal approach in two (5.5%) patients. One fistula receded spontaneously during drainage of the urinary bladder. Primary correction of the fistula was successful in 34 (94.4%) patients. In two patients further surgical treatment was necessary. With regard to their favourable experience the authors recommend a transvaginal approach which is in their opinion suited for the majority of non- complicated vesicovaginal fistulae. In corrections of extensive fistulae after radiotherapy a combined transvesical and transperitoneal approach with fixation of the omentum in the space between the vagina and urinary bladder proved useful.

Adult↗