Transvesical Approach

The advantage of this approach is the avoidance of entering the peritoneal cavity. In this approach, the bladder is opened with a midline vertical incision. The VVF is located and the ureteral orifices are cannulated with stents. The fistulous tract is circumscribed carefully and excised. The bladder is mobilized away from the vagina. The bladder is closed in two layers and the omentum is brought down and fixed to the vagina. Suprapubic and Foley catheters are placed. Postoperative care is similar to that previously described.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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