Mishra Vineet V, Tanvir Tanvir, Choudhary Sumesh, Goraniya Nilesh
Department of Obstetrics and Gynecology, IKDRC-ITS, Ahmedabad, Gujarat, India.
J Midlife Health. 2016 Apr-Jun;7(2):97-9. doi: 10.4103/0976-7800.185332.
Vesicovaginal fistula (VVF) is a devastating social problem. It can either result from obstetric trauma or following gynecological surgeries, malignancy, or radiation. We present a case of a 70-year-old woman who had a VVF following mesh augmentation surgery for anterior compartment prolapse. She required a transvaginal removal of the eroded mesh followed by a transvaginal repair of VVF using a Martius flap, 6 weeks later. Transvaginal removal of mesh is technically feasible and a good approach. Timing and route of surgery should be individualized.
膀胱阴道瘘（VVF）是一个严重的社会问题。它可能由产科创伤引起，也可能继发于妇科手术、恶性肿瘤或放疗之后。我们报告一例70岁女性患者，她在接受前盆腔脏器脱垂网片修补手术后出现了膀胱阴道瘘。6周后，她需要经阴道取出侵蚀的网片，随后采用Martius皮瓣经阴道修复膀胱阴道瘘。经阴道取出网片在技术上是可行的，是一种很好的方法。手术时机和手术途径应个体化。
