el Moussaoui A, Aboutaieb R, Bennani S, Elmrini M, Meziane F, Benjelloun S
Service d'Urologie, CHU Ibn Rochd, Casablanca, Maroc.
J Urol (Paris). 1994;100(3):143-6.
Over a 15 year period (1977-1992), the authors have collected 19 cases of vesico-uterine fistulas. These vesico-uterine fistulas rank in third place of genito-urinary fistulas and occur in young patients (mean age is 30 years). Obstetrical etiology is recognised in .95% of cases (cesarean section and dystocic delivery). Leak of urine is present in 95% of cases, and is isolated in 47% or associated with intermittent hematuria in 48%. Diagnosis of this affection is based upon clinical examination with methylene blue test. Communication between bladder and uterus is proved by the issue of methylene blue through the uterus cervix. This communication may be confirmed by opacification (urography and hysterography). Perfect continence is obtained by surgical treatment. Fertility of these patients is often affected.
在15年期间（1977 - 1992年），作者收集了19例膀胱子宫瘘病例。这些膀胱子宫瘘在泌尿生殖瘘中位列第三，且发生于年轻患者（平均年龄30岁）。95%的病例病因是产科因素（剖宫产和难产）。95%的病例存在尿漏，其中47%为单纯尿漏，48%伴有间歇性血尿。该病的诊断基于临床检查及亚甲蓝试验。亚甲蓝经子宫颈流出可证实膀胱与子宫之间存在连通。这种连通可通过造影（尿路造影和子宫输卵管造影）得以确认。手术治疗可实现完全控尿。这些患者的生育能力常受影响。
