Transluminal repair of iatrogenic bladder fistula: a report of 7 cases
10.3969/j.issn.1009-8291.2023.12.012
- VernacularTitle:经自然腔道手术治疗医源性膀胱瘘7例初步经验
- Author:
Hang YANG
1
;
Qiwu WANG
1
;
Chao CHEN
1
;
Liang WANG
1
;
Wei YANG
1
;
Jiwen LIU
1
;
Xin ZHANG
2
;
Tingting ZHOU
1
Author Information
1. Department of Urology, General Hospital of Western Theater Command, Chengdu 610083
2. Department of Urology, Qianwei People’s Hospital, Leshan 614400, China
- Publication Type:Journal Article
- Keywords:
iatrogenic bladder fistula;
vesicovaginal fistula;
vesicorectal fistula;
transluminal surgery;
transvaginal repair;
transrectal repair
- From:
Journal of Modern Urology
2023;28(12):1065-1068
- CountryChina
- Language:Chinese
-
Abstract:
【Objective】 To explore the technical methods and clinical efficacy of transvaginal or transrectal repair in the treatment of iatrogenic bladder fistula. 【Methods】 The clinical data of 7 cases of iatrogenic bladder fistula patients treated during 2016 and 2019 were retrospectively analyzed, including 6 cases of vesicovaginal fistula (VVF) and 1 case of vesicorectal fistula (VRF). The operation was conducted 3 to 10 months after the diagnosis of urinary fistula, and the vagina or rectum was fully cleaned before operation. Modified Latzko technique was employed to separate the gap between the bladder wall and vaginal or rectal wall along the fistula, the fistula scar was sharply removed, and the fistula, bladder wall, vaginal or intestinal wall, and vaginal or intestinal mucosa were sutured in layers. The urinary catheter was indwelled for 4 weeks. 【Results】 All 7 cases were successfully repaired at one procedure. No urine leakage was found after the urinary catheter was removed. There was no recurrence after 6 to 12 months of follow-up. 【Conclusion】 Selective application of the modified Latzko technique to repair iatrogenic urinary fistula through the natural lumen is an advantageous treatment scheme, which simplifies the operation and reduces trauma.
