Pieretti R V, Pieretti-Vanmarcke R V
Dr. Domingo Luciani Hospital, Caracas, Venezuela
Urology. 1995 Aug;46(2):254-6. doi: 10.1016/s0090-4295(99)80204-0.
The repair of rectourinary fistulas is frequently a matter of great difficulty. We report the case of a young man who sustained a shotgun wound to his pelvis and developed a fistula from the bladder neck to the rectum, which was repaired by a combined transabdominal and posterior sagittal transrectal approach. We recommend that this procedure should be part of the surgical armamentarium available to deal with such complicated lesions.
直肠膀胱瘘的修复常常极具难度。我们报告了一例年轻男性病例，其骨盆遭受霰弹枪伤后形成了从膀胱颈到直肠的瘘管，通过经腹和经直肠后矢状面联合入路进行了修复。我们建议该手术方法应成为处理此类复杂病变的可用手术手段之一。
