Villagrán-Cervantes R, Rodríguez-Colorado S, Delgado-Urdapilleta J, Kunhardt-R J
Instituto Nacional de Perinatología, Clínica de Urología Ginecológica y Trastornos de Estática Pelvigenital, Sociedad Mexicana de Urología Ginecológica.
Ginecol Obstet Mex. 1996 Jul;64:335-7.
Evaluation of the characteristics of urogenital fistula with a retrospective study at the clinic of Urology Ginecologica in the Instituto Nacional de Perinatologia between March 1992 to June 1995, information of the location, etiopathogenesis of the disease, urinary tract infection and surgical treatment were obtained form de patients records in the clinic. The etiophatogenesis of the disease was surgical gynecological procedures in 51.1%, and obstetric cause 48.5%; the location were 14 (66.6%) vesicovaginal, 5 (23.5% 0 ureterovaginal and 2 (urethrovaginal). The abdominal approach were in 8 patients and vaginal route in 9, no surgical treatment were 2. Successfully repair fistula were in 80.9%. Urinary tract infections before treatment agreed on the obstetric etiology was 47.6%, and for surgical gynecological procedures 52.2%. There is an increase in the incident of obstetric vesicovaginal fistula, we believe it depends on the patients that we have in de Instituto Nacional de Perinatologia, most of them are obstetric patients.
1992年3月至1995年6月期间，在国家围产医学研究所的妇科泌尿诊所进行了一项回顾性研究，以评估泌尿生殖瘘的特征，从诊所的患者记录中获取了疾病的位置、病因、尿路感染及手术治疗等信息。疾病的病因中，外科妇科手术占51.1%，产科原因占48.5%；瘘的位置方面，膀胱阴道瘘14例（66.6%），输尿管阴道瘘5例（23.5%），尿道阴道瘘2例。8例采用腹部手术入路，9例采用阴道手术入路，2例未接受手术治疗。瘘成功修复的比例为80.9%。治疗前，产科病因导致的尿路感染发生率为47.6%，外科妇科手术导致的为52.2%。产科膀胱阴道瘘的发生率有所上升，我们认为这取决于国家围产医学研究所的患者情况，其中大多数是产科患者。
