Tachev S, Petrov P
Khirurgiia (Sofiia). 1989;42(5):29-31.
Ninety-two women with urogenital fistulas of obstetric-gynecological origin have been treated at the Department of Urology of the Medical Academy in Sofia for the period Jan. 1974-July 1988. The causes of the fistulas in 17 patients (18.5 per cent) were of obstetric origin and in 75 (81.5 per cent) of gynecological origin. Analysis of the causes revealed that the incidence of obstetric fistulas was higher than in other developed countries. Higher was also the incidence of radiogenic urogenital fistulas. Gynecological fistulas following operations of benign genital diseases were more common than those developing after total hysterectomies and Wertheim's operations for malignant tumors of the internal genitals. This is in contradiction to reports by other authors. It is suggested that urologist be included in the surgeons' staff in risk hysterectomies (in cervical myomatosis).
1974年1月至1988年7月期间，索非亚医学院泌尿外科治疗了92例妇产科源性泌尿生殖瘘患者。17例患者（18.5%）的瘘管病因源于产科，75例（81.5%）源于妇科。病因分析显示，产科瘘的发生率高于其他发达国家。放射性泌尿生殖瘘的发生率也较高。良性生殖器疾病手术后的妇科瘘比全子宫切除术后和韦特海姆氏内生殖器恶性肿瘤手术后继发的瘘更常见。这与其他作者的报道相矛盾。建议在有风险的子宫切除术（如宫颈肌瘤病）中，外科手术团队应包括泌尿科医生。
