A comprehensive review of urinary tract fistulas: the evolution of etiologies, surgical techniques, and contemporary outcomes
Urinary tract fistulas (UTFs) are abnormal connections between the urinary tract and adjacent structures such as the bowel, vagina, or blood vessels. UTFs result in significant personal, social, and financial challenges to patients worldwide. This review investigates the various causes, risk factors...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2025-02-01
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| Series: | Therapeutic Advances in Urology |
| Online Access: | https://doi.org/10.1177/17562872251317344 |
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| _version_ | 1823858489135464448 |
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| author | Noah Nigro Gary Shahinyan Shujian Lin Rohan G. Bhalla Brian J. Flynn |
| author_facet | Noah Nigro Gary Shahinyan Shujian Lin Rohan G. Bhalla Brian J. Flynn |
| author_sort | Noah Nigro |
| collection | DOAJ |
| description | Urinary tract fistulas (UTFs) are abnormal connections between the urinary tract and adjacent structures such as the bowel, vagina, or blood vessels. UTFs result in significant personal, social, and financial challenges to patients worldwide. This review investigates the various causes, risk factors, symptoms, and historical evolution of repair techniques of UTFs. This focuses on the shift from open surgery to minimally invasive techniques, particularly the growing utilization of robot-assisted laparoscopic (RAL) approaches. This review emphasizes the growing role of RAL surgery in treating UTFs, citing its advantages of reduced blood loss, low recurrence rates, and decreased postoperative complications while acknowledging challenges such as limited access to the RAL platform and longer surgical times. The study concludes with advocacy for more widespread access to the RAL platform as well as more research, including randomized controlled trials, to further refine the body of evidence and promote patient outcomes. |
| format | Article |
| id | doaj-art-709d5fc3e16843c4aa12e31944866e5a |
| institution | Kabale University |
| issn | 1756-2880 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Therapeutic Advances in Urology |
| spelling | doaj-art-709d5fc3e16843c4aa12e31944866e5a2025-02-11T11:03:21ZengSAGE PublishingTherapeutic Advances in Urology1756-28802025-02-011710.1177/17562872251317344A comprehensive review of urinary tract fistulas: the evolution of etiologies, surgical techniques, and contemporary outcomesNoah NigroGary ShahinyanShujian LinRohan G. BhallaBrian J. FlynnUrinary tract fistulas (UTFs) are abnormal connections between the urinary tract and adjacent structures such as the bowel, vagina, or blood vessels. UTFs result in significant personal, social, and financial challenges to patients worldwide. This review investigates the various causes, risk factors, symptoms, and historical evolution of repair techniques of UTFs. This focuses on the shift from open surgery to minimally invasive techniques, particularly the growing utilization of robot-assisted laparoscopic (RAL) approaches. This review emphasizes the growing role of RAL surgery in treating UTFs, citing its advantages of reduced blood loss, low recurrence rates, and decreased postoperative complications while acknowledging challenges such as limited access to the RAL platform and longer surgical times. The study concludes with advocacy for more widespread access to the RAL platform as well as more research, including randomized controlled trials, to further refine the body of evidence and promote patient outcomes.https://doi.org/10.1177/17562872251317344 |
| spellingShingle | Noah Nigro Gary Shahinyan Shujian Lin Rohan G. Bhalla Brian J. Flynn A comprehensive review of urinary tract fistulas: the evolution of etiologies, surgical techniques, and contemporary outcomes Therapeutic Advances in Urology |
| title | A comprehensive review of urinary tract fistulas: the evolution of etiologies, surgical techniques, and contemporary outcomes |
| title_full | A comprehensive review of urinary tract fistulas: the evolution of etiologies, surgical techniques, and contemporary outcomes |
| title_fullStr | A comprehensive review of urinary tract fistulas: the evolution of etiologies, surgical techniques, and contemporary outcomes |
| title_full_unstemmed | A comprehensive review of urinary tract fistulas: the evolution of etiologies, surgical techniques, and contemporary outcomes |
| title_short | A comprehensive review of urinary tract fistulas: the evolution of etiologies, surgical techniques, and contemporary outcomes |
| title_sort | comprehensive review of urinary tract fistulas the evolution of etiologies surgical techniques and contemporary outcomes |
| url | https://doi.org/10.1177/17562872251317344 |
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