Singh Vishwajeet, Sinha Rahul Janak, Mehrotra Seema, Sankhwar S N, Bhatt Sanjay
Department of Urology, Chhatrapati Shahuji Maharaj Medical University, Lucknow 226003, India.
Int Urogynecol J. 2012 Apr;23(4):411-6. doi: 10.1007/s00192-011-1544-7. Epub 2011 Sep 2.
The purpose of this study is to present the outcome of management of vesicovaginal fistula (VVF) by the transabdominal route.
Between January 2001 and December 2010, 48 patients suffering from VVF were managed through the transabdominal route.
The success rate following first repair was 87.5%. Patients who failed the first repair (n = 6) were managed again by the transabdominal route (second attempt). Two of these patients were cured, while another patient was cured after prolonged catheter drainage. One patient was managed by ureterosigmoidostomy (Mainz II) pouch but died after 6 months. The remaining two patients refused further treatment and were lost to follow-up.
Transabdominal repair of VVF in properly selected patients results in satisfactory treatment outcome.
本研究旨在介绍经腹途径治疗膀胱阴道瘘（VVF）的结果。
2001年1月至2010年12月期间，48例膀胱阴道瘘患者接受了经腹途径治疗。
首次修复成功率为87.5%。首次修复失败的患者（n = 6）再次行经腹途径治疗（第二次尝试）。其中2例患者治愈，另1例患者经长期导管引流后治愈。1例患者接受输尿管乙状结肠吻合术（Mainz II）造袋术治疗，但6个月后死亡。其余2例患者拒绝进一步治疗，失访。
对适当选择的患者行经腹修复膀胱阴道瘘可取得满意的治疗效果。
