The diagnosis and treatment of female genitourinary fistul
- VernacularTitle:女性泌尿生殖道瘘的诊治
- Author:
Bin GAO
;
Tianbing LV
;
Ping TANG
- Publication Type:Journal Article
- Keywords:
Ureteral injuries;
Diagnosis;
Treatment
- From:
Chinese Journal of Primary Medicine and Pharmacy
2008;15(2):247-248
- CountryChina
- Language:Chinese
-
Abstract:
Objectire To investigate female urogenital fistula on the cause,diagnosis and treatment.Methods Thirty nine cases of patients were diagnosed ashaving genitourinary fistula by cystoscopy,intravenous urography,and blue methvlenelest.In 51%of cases were uretero-vaginal fistulas(20/39),one of them were trated byrenal ostomy.17 cases by early emergency ureteroneocystomy,2 cases by ureteralcatheter.In two complex patients with vesico.uretero-vaginal fistula(2/39),the repairwas associated with badder approach vesicovaginal fistula and early emergencyureteroneocystomy.In 44%of cases with vesicovaginal fistula(17/39)were trated bybladder approach after 3～27 months.Results 36 cases of patients were cured after surgery in one time,2 cases of ureteral intubation,1 case of nephrostomy and nephrectomy later with renal infection,1 case of uroclepsia complication.Conclusion Surgical repair of genitourinary fistula will have high rates of success if performed in proper time and appropriate approaches on the basis of patientinf eirmation and urinary fistula pathological type by experienced hands.
