Yamamoto Yoshiyuki, Nishimura Kensaku, Ueda Norichika, Kawamura Norihiko, Ujike Takeshi, Nin Mikio, Miyoshi Susumu
The Department of Urology, Osaka Rosai Hospital.
Hinyokika Kiyo. 2010 Sep;56(9):517-20.
A 45-year-old woman underwent abdominal simple hysterectomy and sacrocolpopexy with polypropylene mesh (GYNEMESH) for uterine prolapse at the department of Gynecology in October 2006. One month after the operation, she visited our department with a complaint of urinary incontinence. Cystography and magnetic resonance imaging revealed a vesicovaginal fistula. A foley catheter was indwelt for the purpose of conservative treatment, but failed. Considering possible infection and inflammation remaining, we decided to perform abdominal repair of the vesicovaginal fistula about three months after the operation. Transabdominal repair of the vesicovaginal fistula was performed in February 2007. During the operation, a fistula 3 mm in diameter was confirmed just adjacent to the distal edge of the polypropylene mesh which had been fixed between the bladder and the anterior wall of vagina. Eleven days after the operation, cystography revealed no evidence of the vesicovaginal fistula. There has been no sign of recurrence at three years after the operation.
2006年10月，一名45岁女性因子宫脱垂在妇科接受了腹部单纯子宫切除术及使用聚丙烯网片（GYNEMESH）的骶骨阴道固定术。术后1个月，她因尿失禁前来我院就诊。膀胱造影和磁共振成像显示存在膀胱阴道瘘。为进行保守治疗留置了 Foley 导尿管，但未成功。考虑到可能仍有感染和炎症残留，我们决定在术后约3个月进行膀胱阴道瘘的腹部修复术。2007年2月进行了膀胱阴道瘘的经腹修复术。手术过程中，在已固定于膀胱和阴道前壁之间的聚丙烯网片远端边缘紧邻处确认了一个直径3mm的瘘管。术后11天，膀胱造影显示无膀胱阴道瘘迹象。术后3年无复发迹象。
