Minagawa Tomonori, Kato Haruaki, Inoue Hiroo, Nagai Takashi, Oguchi Tomohiko, Kobayashi Shinya, Nishizawa Osamu
Department of Urology, Shinshu University School of Medicine.
Hinyokika Kiyo. 2007 Jul;53(7):481-3.
Urethrovaginal fistulas are rare. In case 1, a 48-year-old woman had undergone transvaginal drainage for an paraurethral abscess. In case 2, a 33-year-old woman had undergone resection of vaginal varicocele with massive bleeding during pregnancy. Postoperatively both patients complained of total incontinence. Urethroscopy and urethrography revealed an urethrovaginal fistula in each case. Repair ofurethrovaginal fistula using Martius labial-rotation flap was performed and the fistula was closed in both cases. We concluded that repair of urethrovaginal fistula using Martius labial-rotation flap may be useful for patients with urethrovaginal fistula.
尿道阴道瘘较为罕见。病例1中，一名48岁女性因尿道旁脓肿接受了经阴道引流术。病例2中，一名33岁女性在孕期因阴道静脉曲张切除术出现大量出血。术后两名患者均主诉完全性尿失禁。尿道镜检查和尿道造影显示两例均为尿道阴道瘘。采用马蒂乌斯唇瓣旋转皮瓣修复尿道阴道瘘，两例瘘口均成功闭合。我们得出结论，采用马蒂乌斯唇瓣旋转皮瓣修复尿道阴道瘘对尿道阴道瘘患者可能有效。
