Monti reconstruction in patients with complex vesicovaginal fistula.

Complex vesicovaginal fistula (VVF) can result in severe destruction of urinary and anal sphincters. We present two cases of patients who underwent retubularized ileal stoma (Monti reconstruction) applied to an augmented bladder for continent urinary diversion. This reconstruction provides another option for a diversion technique in patients with irreparable urethra and bladder damage and a severely damaged anal sphincter. To the best of our knowledge, there have been no published studies of Monti reconstruction in patients with complex VVF.