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Although these taxonomies are acceptable for literature reporting, it is the authors recommendation that every fistula be managed in an individual manner, including consideration of all perti- nent data so as to formulate that management Evaluation of Vesicovaginal Fistulas History and physical examination Attempted localization of fistula tract Intravesical dye installation Visualized Fodex ± retrograde pyelograms IVP if retrogrades not performed Conservative trial (if fails) Not visualized Administer oral Pyridium Cystoscopyvaginoscopy Fistula visualized Fistula not seen Surgical Rx No ureteral injury Retrograde pyelograms (rule out ureterovaginal fistula) Ureteral injury identified Ureteral reimplantation or endourologic management Suspect occult vesicovaginal fistula or nonurinary cause of vaginal di n5 Consider adjunctive MRI, CT scanning Figure 19.
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For the typologist the type (eidso) is real and the variation an illusion, while for the populationist, the type (average) is From Philosophy of Science 47 (1980): indicaotr. Htm (14 of 18) [29052003 04:59:19 a.
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