الفهرس 
Contemporary views on female pelvic anatomy
Classification of vvf fistulaOnly 14 pages are availabe for public view
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Abstract
Vesicovaginal fistula present as a debilitating and
stressful condition for women not only in developing
countries but as well in other parts of the world.
The first recorded reference of vesicovaginal fistulae
were made in 1550 BC in ancient Egypt.
The etiology of vesicovaginal fistula differs according
to the economic state of the countries, where the obstetric
labour is the main cause of etiology in developing countries,
as a complication of pelvic surgery in non-developing
countries.
All these factors lead to presence of more than 2
million women complaining of fistula with an increase from
50,000 to 100,000 new cases every year according to the
latest records of the world health organization.
Martius flap is a well-known surgical technique with
good results , its principal depends on creating a
musclofascial flap harvested from labium major as an
interposing layer to support and provide new blood supply to
the already fibrosed area of fistula.
Porcine small intestinal submucosa is a new
biomaterial that gives healing power and supports the site of repair of vesicovaginal fistula and its results need to be
investigated and studied which is the aim of this study.
This is a pilot study exploring the application of the
porcine small intestinal submucosa (surgisis) in surgical
repair of the urinary vaginal fistulae.
Our results are encouraging and prove superiority of
the porcine small intestinal submucosa during surgery
compared to ordinary surgical methods, its advantages
include reduction in the operative time, blood loss and
comparable operative success.