Reichert M, Schüler P, Stepniewski A, Felmerer G, Trojan L, von Knobloch H C
Klinik für Urologie, Universitätsmedizin Göttingen, Robert-Koch-Str. 40, 37075, Göttingen, Deutschland.
Klinik für Allgemein‑, Viszeral- und Kinderchirurgie, Universitätsmedizin Göttingen, Göttingen, Deutschland.
Urologie. 2023 Mar;62(3):295-298. doi: 10.1007/s00120-022-01924-2. Epub 2022 Sep 6.
When taking into consideration the basic principles of fistula surgery, numerous options are available for the surgical repair of rectourethral fistulas. However, there is no standard regarding which surgical method should be used under which circumstances-due to the heterogeneity of this disease. This case report describes the individual adaptation of a surgical technique that is used for the treatment of vesicovaginal fistulas to treat a rectourethral fistula in a patient who had already undergone an unsuccessful fistula closure attempt. Successful closure of the fistula was achieved on the basis of an established method using tissue interposition.
在考虑瘘管手术的基本原则时，对于直肠尿道瘘的手术修复有多种选择。然而，由于这种疾病的异质性，对于在何种情况下应使用哪种手术方法尚无标准。本病例报告描述了一种用于治疗膀胱阴道瘘的手术技术的个体化调整，以治疗一名瘘管闭合尝试失败的患者的直肠尿道瘘。基于一种使用组织插入的既定方法，成功实现了瘘管的闭合。
