霍奇阴道托置入保守治疗膀胱阴道瘘成功病例
Successful Case of Conservative Treatment of Vesicovaginal Fistula by Hodge Pessary Insertion.
作者信息
Park Soo-Hwan, Park Won Hee, Kim Hyeong Gon
机构信息
Department of Urology, School of Medicine, Inha University, Incheon, Korea.
Department of Urology, Konkuk University Medical Center, Seoul, Korea.
出版信息
Low Urin Tract Symptoms. 2015 May;7(2):118-20. doi: 10.1111/luts.12061. Epub 2014 May 12.
CASE
An 88-year-old woman visited us with a complaint of total urinary leak, and was diagnosed as having vesicovaginal fistula after pessary insertion. A part of pessary was seen in the bladder and it was removed by cutting pessary in the vagina. And then she was managed by antibiotics, local estrogen cream and Foley catheter indwelling.
OUTCOME
Vesicovaginal fistula was healed completely. This is the first successful case of conservative treatment of vesicovaginal fistula caused by vaginal pessary without surgical repair.
CONCLUSION
The conservative approach could be an option of treatments of vesicovaginal fistula caused by neglected vaginal pessary.
病例
一名88岁女性因主诉完全性尿漏前来就诊，在放置子宫托后被诊断为膀胱阴道瘘。在膀胱内可见部分子宫托，通过在阴道内剪断子宫托将其取出。随后给予抗生素、局部雌激素乳膏及留置 Foley 导管进行治疗。
结果
膀胱阴道瘘完全愈合。这是首例无需手术修复由阴道子宫托引起的膀胱阴道瘘保守治疗成功的病例。
结论
保守治疗方法可作为因忽视阴道子宫托而导致的膀胱阴道瘘的一种治疗选择。
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