经阴道治疗膀胱阴道瘘和阴道穹窿脱垂，通过Latzko修补术和骶棘韧带悬吊术保留性功能。
Vaginal approach to vesicovaginal fistula and vaginal vault prolapse preserving sexual function by Latzko repair and sacrospinous suspension.
作者信息
Crosby Erin C, Berger Mitchell B, Delancey John O L
机构信息
Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, USA.
出版信息
Female Pelvic Med Reconstr Surg. 2012 Sep-Oct;18(5):306-7. doi: 10.1097/SPV.0b013e31826d2d7c.
Abstract
The combination of vesicovaginal fistula and complete vaginal vault prolapse is rare. The only published treatment recommendations concern partial colpocleisis, an option that precludes intercourse. In this case report, we describe successful repair of this problem with a Latzko fistula repair and a concomitant Michigan 4-wall sacrospinous ligament suspension: instead of curing the fistula, correcting the prolapse, and preserving sexual function.
摘要
膀胱阴道瘘合并完全性阴道穹窿脱垂的情况较为罕见。仅有的已发表治疗建议涉及部分阴道闭合术，该方法会导致无法进行性交。在本病例报告中，我们描述了通过Latzko瘘管修复术及同期密歇根四壁骶棘韧带悬吊术成功解决此问题：既治愈了瘘管，又矫正了脱垂，还保留了性功能。
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本文引用的文献
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Large vesicovaginal fistula in women with pelvic organ prolapse: the role of colpocleisis revisited.盆腔器官脱垂女性的大型膀胱阴道瘘：阴道封闭术作用的再探讨
Int Urogynecol J Pelvic Floor Dysfunct. 2008 Dec;19(12):1711-3. doi: 10.1007/s00192-008-0636-5. Epub 2008 May 8.
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Latzko repair for vesicovaginal fistula revisited in the era of minimal-access surgery.在微创外科时代重新审视Latzko法修复膀胱阴道瘘
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Vesicovaginal fistula resulting from a well-cared-for pessary.由护理良好的子宫托导致的膀胱阴道瘘。
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Urinary tract injuries after hysterectomy.子宫切除术后的尿路损伤。
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