Crosby Erin C, Berger Mitchell B, Delancey John O L
Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, USA.
Female Pelvic Med Reconstr Surg. 2012 Sep-Oct;18(5):306-7. doi: 10.1097/SPV.0b013e31826d2d7c.
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.
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。
