Stephen G M
Int J Gynaecol Obstet. 1978;15(4):310-2. doi: 10.1002/j.1879-3479.1977.tb00700.x.
In each of the 12 cases presented, the fistula was the result of obstructed labor. Common features to each case were: (a) a large retropubic defect involving the anterior vaginal wall, bladder and urethra, (b) total or partial urethral rupture, and (c) marked vaginal wall scarring with vaginal stenosis. Primary repair was performed by the vaginal route, and two patients were cured by the first operation. Six patients required two or more vaginal procedures for successful closure. Following repeated failure of vaginal closure, two patients had a successful transvesical closure and two require ureterosigmoidostomy.
在呈现的12例病例中，每一例的瘘管都是难产的结果。每例病例的共同特征为：(a) 涉及阴道前壁、膀胱和尿道的巨大耻骨后缺损，(b) 尿道完全或部分破裂，以及(c) 伴有阴道狭窄的明显阴道壁瘢痕形成。通过阴道途径进行一期修复，2例患者经首次手术治愈。6例患者需要进行两次或更多次阴道手术才能成功闭合。经反复阴道闭合失败后，2例患者经膀胱手术成功闭合，2例患者需要行输尿管乙状结肠吻合术。
