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The analysis of the more recent publications of the treatment of vesicovaginal fistulas shows that there is an increase of the indexes of success in the treatment of complex fistulas and/or post-radiotherapy when techniques are employed with an interposition of patches. The results obtained with the correction of the vesicovaginal fistulas, via abdominal way or vaginal are on a par among themselves; meanwhile, morbidity is larger when the option is the abdominal way. The main factor that really guides the vesicovaginal fistula treatment, determinant for the success of the procedure, is the experience of the surgeon with the technique to be used.
The vesicovaginal fistulas show themselves as an illness with therapeutic norms, not very standardized in literature. There is a clear need to do randomized work, with ample casuistic, with the purpose of comparing the techniques and peculiarities in the treatment of vesicovaginal fistulas. Only this way can we determine the best conduct to be taken in the different situations where this illness occurs.