Zimmern P E, Hadley H R, Staskin D R, Raz S
Urol Clin North Am. 1985 May;12(2):361-7.
Controversy still remains concerning the timing of repair, the type of approach, and the technical guidelines most likely to prevent recurrence of both radiated and nonradiated vesicovaginal fistulae. The authors advocate the transvaginal approach because it avoids a cystotomy and involves minimal blood loss and consequently is followed by less postoperative discomfort and a shorter hospital stay. Included in this discussion are the techniques and results of the transvaginal approach for simple vesicovaginal fistulae as well as for complex cases and radiation fistulae.
关于修复时机、手术入路类型以及最有可能预防放射性和非放射性膀胱阴道瘘复发的技术指南，目前仍存在争议。作者主张采用经阴道入路，因为它避免了膀胱切开术，出血量极少，因此术后不适较少，住院时间较短。本次讨论包括经阴道入路治疗单纯性膀胱阴道瘘、复杂病例及放射性瘘的技术和结果。
