Comment to: “Treatment of urogenital fistula in women”

González, J.

doi:10.1016/j.acuroe.2011.06.019

array:24 ["pii" => "S2173578612000807" "issn" => "21735786" "doi" => "10.1016/j.acuroe.2011.06.019" "estado" => "S300" "fechaPublicacion" => "2012-03-01" "aid" => "321" "copyright" => "AEU" "copyrightAnyo" => "2011" "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "dis" "cita" => "Actas Urol Esp. 2012;36:196-7" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 933 "formatos" => array:3 [ "EPUB" => 6 "HTML" => 766 "PDF" => 161 ] ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0210480611002580" "issn" => "02104806" "doi" => "10.1016/j.acuro.2011.06.004" "estado" => "S300" "fechaPublicacion" => "2012-03-01" "aid" => "321" "copyright" => "AEU" "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "dis" "cita" => "Actas Urol Esp. 2012;36:196-7" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1710 "formatos" => array:3 [ "EPUB" => 8 "HTML" => 1393 "PDF" => 309 ] ] "es" => array:10 [ "idiomaDefecto" => true "cabecera" => "Comentario editorial" "titulo" => "Comentario a: «Tratamiento de la fístula urogenital en la mujer»" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "196" "paginaFinal" => "197" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Comment to: «Treatment of Urogenital Fistula in Women»" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J. González" "autores" => array:1 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "González" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2173578612000807" "doi" => "10.1016/j.acuroe.2011.06.019" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173578612000807?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480611002580?idApp=UINPBA00004N" "url" => "/02104806/0000003600000003/v2_201304261330/S0210480611002580/v2_201304261330/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S2173578612000856" "issn" => "21735786" "doi" => "10.1016/j.acuroe.2012.05.011" "estado" => "S300" "fechaPublicacion" => "2012-03-01" "aid" => "317" "copyright" => "AEU" "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "cor" "cita" => "Actas Urol Esp. 2012;36:198-9" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 942 "formatos" => array:3 [ "EPUB" => 6 "HTML" => 762 "PDF" => 174 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "Letter to the Editor" "titulo" => "First renal transplant chain involving an altruistic donor performed in Spain" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "198" "paginaFinal" => "199" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Primera cadena de trasplantes a partir de un donante altruista realizada en España" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1253 "Ancho" => 2508 "Tamanyo" => 139684 ] ] "descripcion" => array:1 [ "en" => "Renal transplant chain involving an altruistic donor." ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "A. Breda, O. Rodríguez Faba, E. Espejo, J.M. Cozar, H. Villavicencio" "autores" => array:5 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "Breda" ] 1 => array:2 [ "nombre" => "O." "apellidos" => "Rodríguez Faba" ] 2 => array:2 [ "nombre" => "E." "apellidos" => "Espejo" ] 3 => array:2 [ "nombre" => "J.M." "apellidos" => "Cozar" ] 4 => array:2 [ "nombre" => "H." "apellidos" => "Villavicencio" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0210480611002427" "doi" => "10.1016/j.acuro.2011.06.001" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480611002427?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173578612000856?idApp=UINPBA00004N" "url" => "/21735786/0000003600000003/v1_201304251809/S2173578612000856/v1_201304251809/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2173578612000790" "issn" => "21735786" "doi" => "10.1016/j.acuroe.2011.05.002" "estado" => "S300" "fechaPublicacion" => "2012-03-01" "aid" => "316" "copyright" => "AEU" "documento" => "article" "crossmark" => 0 "subdocumento" => "sco" "cita" => "Actas Urol Esp. 2012;36:191-5" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1359 "formatos" => array:3 [ "EPUB" => 12 "HTML" => 1062 "PDF" => 285 ] ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "Casuistry" "titulo" => "Treatment of urogenital fistula in women" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "191" "paginaFinal" => "195" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Tratamiento de la fístula urogenital en la mujer" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "C. Göktaş, R. Horuz, G. Faydacı, A.C. Çetinel, O. Akça, S. Albayrak" "autores" => array:6 [ 0 => array:2 [ "nombre" => "C." "apellidos" => "Göktaş" ] 1 => array:2 [ "nombre" => "R." "apellidos" => "Horuz" ] 2 => array:2 [ "nombre" => "G." "apellidos" => "Faydacı" ] 3 => array:2 [ "nombre" => "A.C." "apellidos" => "Çetinel" ] 4 => array:2 [ "nombre" => "O." "apellidos" => "Akça" ] 5 => array:2 [ "nombre" => "S." "apellidos" => "Albayrak" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0210480611002415" "doi" => "10.1016/j.acuro.2011.05.004" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480611002415?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173578612000790?idApp=UINPBA00004N" "url" => "/21735786/0000003600000003/v1_201304251809/S2173578612000790/v1_201304251809/en/main.assets" ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "Commentary" "titulo" => "Comment to: “Treatment of urogenital fistula in women”" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "196" "paginaFinal" => "197" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "J. González" "autores" => array:1 [ 0 => array:3 [ "nombre" => "J." "apellidos" => "González" "email" => array:1 [ 0 => "fjgg1975@yahoo.com" ] ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Urología, Hospital Universitario de Getafe, Madrid, Spain" ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Comentario editorial a: «Tratamiento de la fístula urogenital en la mujer»" ] ] "textoCompleto" => "Fistulous communication between the ureter, bladder or urethra and adjacent anatomical structures is a cause of great suffering and discomfort for the patient. There are few entities in which this shows greater anxiety about the disabling condition, or greater the gratitude directed toward the surgeon once resolved, because, regardless of its origin, whether traumatic, surgical, inflammatory, neoplastic, or radio-induced, it is almost invariably susceptible to surgical repair.<a class="elsevierStyleCrossRef" href="#bib0005">1</a>The scientific evidence on the prevalence of this entity and its treatment is limited by unusual historical circumstances. Before the second half of the 19th century, the vesicovaginal fistula was generally considered a hopeless and incurable process. Until the appearance of the works by the North American surgeon J. Marion Sims in 1852<a class="elsevierStyleCrossRef" href="#bib0010">2</a> and some of his contemporaries, the treatment of this entity could not be performed with security and safety for the patient. Once obstetrics was developed as an independent specialty in the first half of the 20th century, puerperal maternal and child mortality plummeted in most developed countries. This made the obstetric fistula disappear from the clinical and social Western experience at the time when the basis of scientific rigor started to be established. As a result of such a particular historical circumstance, the scientific literature on obstetric and gynecologic fistulas is old and uncritical under the current scientific standards and criteria. The evidence at our disposal at present is made practically of collections of anecdotes,<a class="elsevierStyleCrossRef" href="#bib0015">3</a> case series (some with a high number of patients), and isolated personal experiences of specialized surgeons that provide the results of their casuistry from the farthest points of the globe, often facing circumstances of absolute deficiency and in a completely adverse scenario.On the other hand, the subdivision between ‘simple’ and ‘complex’ fistulas at first sight may be considered an unnecessary way to turn what is difficult into something still more complex. However, for practical purposes, it is a useful tool when properly defining the type of surgical repair that a particular patient will require. While the so-called simple fistulas can be solved mainly by excision of the fistulous tract and appropriate reapproximation and correct apposition of the tissue layers involved, the most complex cases, in which there is great devascularization associated, history of previous attempts at repair, major loss of tissue or persistence of an infectious or tumor focus may require auxiliary procedures for their final solution.The lack of appropriate definitions and categorization, as well as consensus on which procedure or procedures (both diagnostic and therapeutic) to use and in which sequence, often makes it difficult to make decisions in a particular case. Very few articles currently reach a substantial level of evidence to answer this and other questions. The availability of a single prospective clinical trial on vesicovaginal fistulas in the developed world<a class="elsevierStyleCrossRef" href="#bib0020">4</a> further strengthens the idea of the lack of scientific awareness in this regard in the Western world. The lack of well-designed studies now makes it impossible to generate a sophisticated meta-analysis or to obtain a core of knowledge about this entity. It is, therefore, important that the centers of greater experience and volume not only communicate their experience,<a class="elsevierStyleCrossRef" href="#bib0025">5</a> but they must also try to establish the basis for future prospective studies, properly designed, in order to reverse this situation, as yet some important aspects require a larger study." "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "Please cite this article as: González J. Comentario a: “Tratamiento de la fístula urogenital en la mujer”. Actas Urol Esp. 2012;36:196–7." ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Fístulas urinarias: puesta al día" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "A. Allona" 1 => "J.L. Sanz" 2 => "P. Pérez" 3 => "B. Pozo" 4 => "S. Navío" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Actas Urol Esp" "fecha" => "2002" "volumen" => "26" "paginaInicial" => "776" "paginaFinal" => "795" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12645375" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "On the treatment of vesico-vaginal ﬁstula" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J.M. Sims" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Am J Med Sci" "fecha" => "1852" "volumen" => "23" "paginaInicial" => "59" "paginaFinal" => "82" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Laparoscopic repair of the vesicovaginal ﬁstula (laparoscopic O’Connor repair)" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "S. Alonso y Gregorio" 1 => "M. Álvarez" 2 => "P.M. Cabrera" 3 => "L. Hidalgo" 4 => "J.J. De la Peña" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Actas Urol Esp" "fecha" => "2009" "volumen" => "33" "paginaInicial" => "1133" "paginaFinal" => "1137" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20096186" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A randomised controlled trial of antibiotic prophylaxis for vesico-vaginal ﬁstula repair" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "A.J. Tomlinson" 1 => "J.G. Thornton" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Br J Obstet Gynaecol" "fecha" => "1998" "volumen" => "105" "paginaInicial" => "397" "paginaFinal" => "399" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9609264" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tratamiento de la ﬁstula urogenital en la mujer" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "C. Göktaş" 1 => "G. Horuz" 2 => "G. Faydaci" 3 => "A. Cihangir-Çetinel" 4 => "O. Akça" 5 => "S. Albayrak" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.acuro.2011.05.004" "Revista" => array:6 [ "tituloSerie" => "Actas Urol Esp" "fecha" => "2012" "volumen" => "36" "paginaInicial" => "191" "paginaFinal" => "195" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21802786" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735786/0000003600000003/v1_201304251809/S2173578612000807/v1_201304251809/en/main.assets" "Apartado" => array:4 [ "identificador" => "6272" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Casuistry" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735786/0000003600000003/v1_201304251809/S2173578612000807/v1_201304251809/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173578612000807?idApp=UINPBA00004N"]

ISSN: 2173-5786

Actas Urológicas Españolas is an international journal dedicated to urological diseases and renal transplant. It has been the official publication of the Spanish Urology Association since 1974 and of the American Urology Confederation since 2008. Its articles cover all aspects related to urology. Actas Urológicas Españolas, governed by the peer review system (double blinded), is published online in Spanish and English. Consequently, manuscripts may be sent in Spanish or English and bidirectional free cost translation will be provided. It has high visibility and accessibility and is found in the most important data bases, Medline/Pubmed, Emabase, JCR, Ïndice Médico Español, Índice bibliográfico Español en Ciencias de la Salud (IBECS), Cuiden, Dialnet, Hinari, Scopus, Google Scholar.

See more Open Access Option

Indexed in:

Science Citation Index Expanded, Journal of Citation Reports, Index Medicus/MEDLINE, Scopus, EMBASE/Excerpta Medica, IBECS

Subscribe:

Impact factor

The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two preceding years.

© Clarivate Analytics, Journal Citation Reports 2022

Impact factor 2023

1.2

Citescore

CiteScore measures average citations received per document published.

Citescore 2023

1.9

SJR

SRJ is a prestige metric based on the idea that not all citations are the same. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal's impact.

SJR 2023

0.332

SNIP

SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field.

SNIP 2023

0.557

View more metrics

Journal Information

Previous article | Next article

Vol. 36. Issue 3.

Pages 196-197 (March 2012)

Lee este artículo en Español

Export reference

Download PDF

Article

These are the options to access the full texts of the publication Actas Urológicas Españolas (English Edition)

Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”

Subscribe to

Actas Urológicas Españolas (English Edition)

More information

Purchase

Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now

Contact

Phone for subscriptions and reporting of errors

From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.

Calls from Spain

932 415 960

Calls from outside Spain

+34 932 415 960

E-mail

atencionalcliente@elsevier.com

Publish in

Actas Urológicas Españolas

Tools

Actas Urológicas Españolas (English Edition) is a member and subscribes the principles of, the Committee on Publication Ethics (COPE)
www.publicationethics.org.

Free access articles

Recommendations on the treatment of metastatic...

Actas Urol Esp. 2024;48:623-31

Changes in benign prostatic hyperplasia management in...

Actas Urol Esp. 2024;48:461-9

Long-term functional success and patient-reported outcomes...

10.1016/j.acuroe.2024.05.014

Indexed in:

Follow us:

Subscribe:

Article

Subscribe to our newsletter