Langenscheidt P, Mast G J, Becht E, Ziegler M
Urologische Klinik und Poliklinik, Universität des Saarlandes, Homburg/Saar.
Urologe A. 1991 Mar;30(2):94-8.
Since 1975 a total of 55 patients with vesicovaginal fistulas have undergone surgery at the Clinic of Urology, University of Saarland, Homburg/Saar. A majority (55%) of the cases were complicated. In 9 cases supravesical urinary diversion was necessary. Successful closure of the fistula was achieved in 45 patients (81.8%); only in one case is the fistula still present. In 5 patients with uncomplicated fistulas successful closure was accomplished by a vaginal approach. In the presence of complications, e.g., previous radiotherapy or accompanying lesions of the ureter or rectum, a transvesical/transabdominal approach was preferred; surgery was successful in 93.3% of such cases.
自1975年以来，共有55例膀胱阴道瘘患者在萨尔兰大学洪堡/萨尔泌尿外科诊所接受了手术。大多数病例（55%）较为复杂。9例患者需要进行膀胱上尿路改道。45例患者（81.8%）成功闭合了瘘管；仅1例瘘管仍存在。5例无并发症的瘘管患者通过阴道途径成功闭合。在存在并发症的情况下（例如先前接受过放疗或伴有输尿管或直肠病变），首选经膀胱/经腹途径；此类病例中93.3%的手术取得了成功。
