Bouya P A, Odzébé A W S, Ondongo Atipo M A, Andzin M
Service d'urologie-andrologie, CHU de Brazzaville, BP 32, Brazzaville, République démocratique du Congo.
Prog Urol. 2012 Jul;22(9):549-52. doi: 10.1016/j.purol.2012.02.001. Epub 2012 Apr 4.
To describe the clinical features and treatment of a large stone associated with vesicovaginal fistula and analyze the contributing factors.
From January 2000 to July 2011, seven patients were operated on for a large stone wedged in the vesicovaginal at the Urology Andrology department of the University Hospital of Brazzaville. For each case, the epidemiological, clinical, therapeutic aspects were analyzed.
Seven of 89 patients operated on for vesicovaginal in 10 years had a large stone. The age of patients ranged from 35 to 63 years with an average of 44 years. The age of the fistula ranged from 3 to 33 years. History were six caesarean sections and one obstructed labor. The urine culture performed in six patients had identified both Escherichia Coli, five times, and Proteus mirabilis, one time. The calculus was extracted five times by the bladder and two times vaginally. The dimensions of the calculi ranged from 3 to 7 cm of large diameter. The suture concomitant fistula was performed with four cures and three failures cured by a second course.
Vesicovaginal fistulas may be complicated by calculus. The contributing factors are foreign bodies and infection.
描述与膀胱阴道瘘相关的巨大结石的临床特征及治疗方法，并分析其相关因素。
2000年1月至2011年7月，在布拉柴维尔大学医院泌尿外科和男科，对7例因巨大结石嵌顿于膀胱阴道瘘的患者进行了手术。对每例患者的流行病学、临床及治疗方面进行了分析。
10年间89例接受膀胱阴道瘘手术的患者中有7例存在巨大结石。患者年龄在35至63岁之间，平均44岁。瘘管形成时间为3至33年。病史中有6例剖宫产和1例产程梗阻。6例患者的尿液培养中，5次检出大肠杆菌，1次检出奇异变形杆菌。结石经膀胱取出5次，经阴道取出2次。结石直径范围为3至7厘米。同时进行瘘管缝合，4例治愈，3例失败，经二次手术治愈。
膀胱阴道瘘可能并发结石。相关因素为异物和感染。
