Mandal A K, Sharma S K, Vaidyanathan S, Goswami A K
Department of Urology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Br J Urol. 1990 May;65(5):453-6. doi: 10.1111/j.1464-410x.1990.tb14785.x.
Ureterovaginal fistula is an uncommon complication of pelvic operations. We report 31 such cases seen over an 18-year period, all of which followed surgery for benign gynaecological conditions. Most patients had no urinary symptoms until the sudden onset of incontinence 1 to 4 weeks post-operatively. Diagnosis was established by a combination of intravenous urography, cystography, cystoscopy, retrograde ureteropyelography and dye studies. Twenty-nine patients underwent ureteroneocystostomy, 10 with a Boari flap and 19 by a direct method; fistulas healed in 2 patients following conservative treatment. Renal salvage was achieved in all cases.
输尿管阴道瘘是盆腔手术中一种罕见的并发症。我们报告了18年间所见的31例此类病例，所有病例均继发于良性妇科疾病的手术。大多数患者在术后1至4周突然出现尿失禁之前没有泌尿系统症状。通过静脉肾盂造影、膀胱造影、膀胱镜检查、逆行输尿管肾盂造影和染料检查相结合来确诊。29例患者接受了输尿管膀胱吻合术，其中10例采用鲍里皮瓣法，19例采用直接法；2例患者经保守治疗后瘘口愈合。所有病例均成功保留了肾脏。
