Gupta N P, Mishra Saurabh, Mishra Archana, Seth Amlesh, Anand Ajay
Department of Urology, All India Institute of Medical Sciences, New Delhi, India.
Urol Int. 2012;88(3):259-62. doi: 10.1159/000331503. Epub 2012 Mar 9.
Currently, surgical repair for vesicovaginal fistula (VVF) provides excellent results, but the recurrent VVF is difficult to treat as compared to primary.
Sixty-eight patients (44 primipara and 24 multipara) with recurrent VVF repair from January 2002 to December 2007 were included in present study. The mean size of fistula was 2.8 cm (1.0-6.5). The previous surgical repair was through the abdominal route in 50 patients (73.53%) and through the vaginal route in the remaining 18 patients (26.47%).
The procedure was successful in 62 of 68 patients (91.17%). The mean duration of surgery was 146.6 min (100-210). Mean blood loss was 160 ml (110-400) and mean hospital stay was 5.6 days (4-10). Eight patients developed complications.
Recurrent VVF is difficult to treat, but excellent results can still be achieved by strictly sticking to the principals of surgical repair for VVF.
目前，膀胱阴道瘘（VVF）的手术修复效果良好，但与初次手术相比，复发性VVF难以治疗。
本研究纳入了2002年1月至2007年12月期间接受复发性VVF修复手术的68例患者（44例初产妇和24例经产妇）。瘘管的平均大小为2.8厘米（1.0 - 6.5厘米）。之前50例患者（73.53%）通过腹部途径进行手术修复，其余18例患者（26.47%）通过阴道途径进行手术修复。
68例患者中有62例手术成功（91.17%）。平均手术时长为146.6分钟（100 - 210分钟）。平均失血量为160毫升（110 - 400毫升），平均住院时间为5.6天（4 - 10天）。8例患者出现并发症。
复发性VVF难以治疗，但严格遵循VVF手术修复原则仍可取得良好效果。
