Dogra P N, Nabi G
Department of Urology, All India Institute of Medical Sciences, New Delhi.
Int Urogynecol J Pelvic Floor Dysfunct. 2001;12(1):69-70. doi: 10.1007/s001920170097.
The management of vesicovaginal fistula remains a source of debate, despite extensive literature on the subject. It is difficult to prove the superiority of one surgical technique over another by randomized trials, given the variabilities of fistula etiology, the location and clinician expertise. Small epithelized fistulae following conservative treatment and residual or recurrent cases following transabdominal or transvaginal repair pose a therapeutic challenge. A case of a small vesicovaginal fistula following abdominal hysterectomy is presented, in which a successful outcome was achieved using endoscopic Nd-YAG laser fulguration.
尽管有大量关于膀胱阴道瘘的文献，但该疾病的治疗仍存在争议。鉴于瘘管病因、位置和临床医生专业知识的差异，很难通过随机试验证明一种手术技术优于另一种。保守治疗后出现的小上皮化瘘管以及经腹或经阴道修复后的残留或复发病例带来了治疗挑战。本文介绍了一例子宫切除术后出现的小膀胱阴道瘘病例，该病例通过内镜Nd-YAG激光烧灼术取得了成功的治疗效果。
