Drutz H P, Mainprize T C
Gynecological Urology and Urodynamic Investigative Unit, Mount Sinai Hospital, Toronto, Ontario, Canada.
Am J Obstet Gynecol. 1988 Feb;158(2):237-40. doi: 10.1016/0002-9378(88)90129-9.
Three cases of persistent urinary incontinence from unrecognized small vesicovaginal fistula after abdominal hysterectomy for benign gynecologic disease are presented. Visualization of urine in the posterior fornix was suggestive; diagnosis was confirmed by methylene blue test and cystoscopy. Two patients had undergone interval Marshall-Marchetti-Krantz operations for suspected stress-related urinary incontinence. An extensive literature survey confirms that the vesicovaginal fistula were an unlikely complication of the Marshall-Marchetti-Krantz procedure.
本文报告了3例因良性妇科疾病行腹式子宫切除术后未被识别的小膀胱阴道瘘导致持续性尿失禁的病例。后穹窿见尿液提示有膀胱阴道瘘；亚甲蓝试验和膀胱镜检查确诊。2例患者因疑似压力性尿失禁接受了间隔性Marshall-Marchetti-Krantz手术。广泛的文献调查证实，膀胱阴道瘘是Marshall-Marchetti-Krantz手术不太可能出现的并发症。
