Bose Chinmoy K, Basu Amit, Kanjilal Subir, Basu Srabani
North Maternity Home, Kolkata, India.
MedGenMed. 2005 Dec 21;7(4):74.
Vesicovaginal fistula (VVF) is prevalent in the developing world, with recent estimates suggesting that 2 million women live with fistula, mainly in sub-Saharan Africa and South Asia. VVF is associated with urogenital infections and ammonia dermatitis, and the psychosocial ramifications may be devastating, as women may be socially isolated from their families and community. VVF also remains a challenging condition for the gynecologic surgeon. We present a case of a giant supratrigonal VVF repaired using an abdominal (suprapubic) transperitoneal transvesical approach.
膀胱阴道瘘（VVF）在发展中国家很常见，最近的估计表明，有200万女性患有瘘管病，主要分布在撒哈拉以南非洲和南亚。膀胱阴道瘘与泌尿生殖系统感染及氨性皮炎有关，其对心理社会的影响可能是毁灭性的，因为女性可能会在社交上与家人和社区隔离。膀胱阴道瘘对于妇科外科医生来说仍然是一个具有挑战性的病症。我们报告一例巨大膀胱三角上区膀胱阴道瘘，采用经腹（耻骨上）经腹膜经膀胱入路进行修复。
