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

Q: What does this research mean for the field?

Using the bladder for spontaneous vaginal augmentation and continent urinary diversion is a viable surgical approach for managing complex radiation-induced vesicovaginal fistulas where conventional reconstructive repairs are unfeasible. Novelty: ClaimNovelty.METHODOLOGICAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

Luís Gustavo Morato de Toledo; Gabriel Branquinho Pedone; João Victor Braz Mariano Scarpa Pereira

doi:10.1007/s00192-026-06864-5

August 27, 2026International Urogynecology JournalOpen Access

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

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Key Points

To describe surgical strategies, including continent urinary diversion and spontaneous vaginal augmentation, for managing complex radiation-induced vesicovaginal fistulas.
Evaluated severe radiation-induced vesicovaginal fistula characterized by pelvic tissue fibrosis, ischemia, and compromised tissue healing.
Assessed reconstructive feasibility in cases presenting with bilateral ureteral compromise and complete urethral sphincter destruction.
Extensive radiation damage and sphincter destruction rendered conventional primary reconstructive fistula repairs unfeasible.
Continent urinary diversion provided an effective alternative to manage severe urinary tract compromise and facilitate vaginal reconstruction.

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Implication

Case report demonstrates continent urinary diversion in complex radiation-induced vesicovaginal fistula, highlighting alternatives when conventional repair fails.

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 ].

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Cite This Study

Toledo et al. (2026) studied this question.

synapsesocial.com/papers/6a9299c88e5d7d1fc0c12049 https://doi.org/10.1007/s00192-026-06864-5

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

Key Points

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Implication

Abstract

Discussion

Cite This Study

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

Key Points

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

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