Joshi Sulabha, Bhalerao Anuja, Somalwar Savita, Chaudhary Swanand
Departments of Obstetrics and Gynaecology, NKP Salve Institute of Medical Sciences, Nagpur, India.
J Midlife Health. 2011 Jan;2(1):37-9. doi: 10.4103/0976-7800.83272.
In developing countries most of the fistulas occur as a catastrophic complication of obstructed labor in young women. Constant dribbling, wetness, and stink lead to social outcasting of patients of vesico-vaginal fistula (VVF) making their life miserable. In most of the cases, timely surgery taking all required precautions is successful. In small number of cases, fistula is irreparable. Under such circumstances urinary diversion helps. Very few cases are reported in literature, where patients have endured fistula for more than 40 years. A case report of a patient of VVF, who suffered for 45 years without seeking any treatment because of prevailing circumstances is presented here. The fistula was irreparable. Urinary diversion was the only option available. She was successfully managed by urinary diversion with an ileal conduit. Now patient is leading a contented life.
在发展中国家，大多数瘘管是年轻女性产道梗阻的灾难性并发症。持续的滴尿、潮湿和异味导致膀胱阴道瘘（VVF）患者被社会排斥，使她们的生活悲惨不堪。在大多数情况下，采取所有必要预防措施的及时手术是成功的。在少数情况下，瘘管无法修复。在这种情况下，尿流改道会有所帮助。文献中报道的病例很少，患者忍受瘘管超过40年。本文介绍了一例VVF患者的病例报告，由于当时的情况，该患者忍受了45年而未寻求任何治疗。瘘管无法修复。尿流改道是唯一可行的选择。她通过回肠导管尿流改道成功得到治疗。现在患者过着满意的生活。
