Urethrovaginal Fistula due to Behcet's Disease.
- Author:
Soo Dong KIM
1
;
Dong Won CHOI
;
Won Yeol CHO
;
Gyung Tak SUNG
;
Jin Han YOON
Author Information
1. Department of Urology, College of Midicine, Dong-a University Hospital, Busan, Korea.
- Publication Type:Case Report
- Keywords:
Fistula;
Behcet disease
- MeSH:
Adipose Tissue;
Behcet Syndrome;
Cystitis;
Epididymitis;
Female;
Fistula*;
Glomerulonephritis;
Humans;
Male;
Orchitis;
Ulcer;
Vasculitis;
Young Adult
- From:Korean Journal of Urology
2004;45(2):194-196
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Behcet's disease is a multisystem disorder presented with recurrent oral and genital ulcerations as well as ocular involvement. The principal manifestations in the urinary system are glomerulonephritis, cystitis, epididymitis, orchitis, and genital ulcerations. Urethrovaginal fistula is an unusual complication. The primary lesion of the disease is a small vessel vasculitis with endothelial deposition of immunocomplexes, and consequent inflammatory and necrotizing process of the vascular wall. We experienced a 19-year-old woman with Behcet's disease, who had a large urethrovaginal fistula on the anterior vaginal wall. The size of fistula was 2x1cm. For this patient, we tried combining bulbocavernosus muscle and labial fat pad flap (Martius flap) urethral reconstruction. This operative method seemed to be safe and effective for the urethral defect with Behcet's disease.
