Clinical Observation on Vesicovaginal and Urethrovaginal Fistulas.
- Author:
Sung Ho LEE
1
;
Jong Byung YOON
Author Information
1. Department of Urology, College of Medicine, Busan National University, Busan, Korea.
- Publication Type:Original Article
- Keywords:
management;
vesicovaginal fistula;
urethrovaginal fistula
- MeSH:
Busan;
Catheters;
Drainage;
Fistula*;
Humans;
Hysterectomy;
Postoperative Complications;
Urethra;
Urinary Bladder;
Urology;
Vesicovaginal Fistula
- From:Korean Journal of Urology
1983;24(1):109-113
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A clinical observation was made on 10 cases with vesicovaginal fistulas and 5 cases with urethrovaginal fistulas admitted to the Department of Urology, Busan National University Hospital, during the period from January, 1976 to June, 1982. The following results were obtained. 1. The most prevalent age group of vesicovaginal fistula was in its forties to fifties. And that of urethrovaginal fistula was in its thirties to forties and up to twenties. 2. The most common cause of vesicovaginal fistula was total hysterectomy (60%), and that of urethrovaginal fistula was trauma (60%). 3. In 4 of 10 patients with vesicovaginal fistula, the duration between onset and repair of the fistula was 3 to 6 months. In 3 of 5 patients with urethrovaginal fistula, the duration was over 5 years. 4. The most common location of vesicovaginal fistula was the posterior wall of the bladder and that of urethrovaginal fistula was proximal one third of the urethra. 5. The two most common size of vesicovaginal fistula and urethrovaginal fistula were below 1.0 cm and 1.1 to 2.0 cm. 6. The surgical repair was performed in 14 patients. Surgical approaches were as follows; transvaginal in 3, transabdominal in 6 (with vesicovaginal fistula), transvaginal in 5 (with urethrovaginal fistula)patients. 7. The most common duration of catheter drainage in vesicovaginal fistula was 3 wks. And that of urethrovaginal fistula was 2 wks. 8. Vesicovaginal fistula was repaired successfully in 7 out of 9 patients (77.8%), and urethrovaginal fistula was repaired completely in all of 5 patients (100.0%). 9. Postoperative complications of vesicovaginal fistula and urethrovaginal fistula were seen in 3 and 2 patients respectively.
