Geoffrion Roxana, Hyakutake Momoe T
Department of Obstetrics and Gynecology, University of British Columbia, Vancouver, British Columbia, Canada,
Int Urogynecol J. 2014 Aug;25(8):1145-7. doi: 10.1007/s00192-013-2323-4. Epub 2014 Feb 13.
We present a case in which there was optimal management of recurrent cervicovesical fistula. The patient sustained a fistula shortly after a cesarean for cephalopelvic disproportion in the second stage. She underwent an unsuccessful attempt at vaginal repair 3 months postpartum and continued experiencing intermittent urinary leakage through the vagina. She expressed a wish for further childbearing and was counseled to undergo fistula repair at the time of repeat cesarean section. Twenty-seven months after her first delivery, she had a second healthy pregnancy and the repair of her cervicovesical fistula was performed with collagen graft interposition at the time of her elective cesarean section. This case report highlights the importance of surgical timing and comments on various factors that possibly enhance the success of the fistula repair.
我们报告一例复发性宫颈膀胱瘘得到最佳治疗的病例。该患者在第二产程因头盆不称行剖宫产术后不久出现瘘管。产后3个月她尝试了阴道修复，但未成功，仍持续经阴道间歇性漏尿。她表示希望再次生育，因此在再次剖宫产时接受了瘘管修复的建议。首次分娩27个月后，她再次顺利怀孕，并在择期剖宫产时采用胶原移植物植入术修复了宫颈膀胱瘘。本病例报告强调了手术时机的重要性，并对可能提高瘘管修复成功率的各种因素进行了讨论。
