Venkatramani Vivek, Shanmugasundaram Rajaian, Kekre Nitin Sudhakar
From the Department of Urology, Christian Medical College, Vellore, India.
Female Pelvic Med Reconstr Surg. 2014 Jan-Feb;20(1):14-8. doi: 10.1097/SPV.0000000000000040.
To review our experience with urogenital fistulae with respect to etiology and management.
Retrospective analysis of electronic records from January 2004 to June 2011.
A retrospective analysis of electronic records of all urogenital fistulae presenting to our institution from January 2004 to June 2011 was undertaken. Etiology, presentation, management, and outcome of these cases were noted and analyzed.
A total of 210 cases were identified, with vesicovaginal fistulae being the most common. The etiology was predominantly gynecological (58.6%) with laparoscopic assisted hysterectomy seeming to play an increasingly important role. Success rates of more than 90% were achieved in all cases, even in complex fistulae. No factors predicting successful repair were identified. Laparoscopic repair was successful in well-selected cases.
The etiology of urogenital fistulae in India seems to be changing to one in line with developed countries. High success rates are possible even in complex cases.
回顾我们在泌尿生殖瘘病因及治疗方面的经验。
对2004年1月至2011年6月的电子记录进行回顾性分析。
对2004年1月至2011年6月期间我院收治的所有泌尿生殖瘘患者的电子记录进行回顾性分析。记录并分析这些病例的病因、临床表现、治疗方法及结果。
共确诊210例病例，其中膀胱阴道瘘最为常见。病因主要为妇科疾病（58.6%），腹腔镜辅助子宫切除术似乎发挥着越来越重要的作用。所有病例的成功率均超过90%，即使是复杂瘘管也是如此。未发现预测修复成功的因素。在精心挑选的病例中，腹腔镜修复手术取得了成功。
印度泌尿生殖瘘的病因似乎正在向与发达国家一致的方向转变。即使是复杂病例，也有可能获得较高的成功率。
