Transvaginal repair for vesicovaginal fistulas
10.3760/cma.j.issn.1008-1372.2017.03.003
- VernacularTitle:经阴道途径膀胱阴道瘘修补术
- Author:
Hong SHEN
- Keywords:
Vagina/SU;
Vesicovaginal fistula/SU
- From:
Journal of Chinese Physician
2017;19(3):329-331
- CountryChina
- Language:Chinese
-
Abstract:
Vesicovaginal fistulas are the common complications of gynecologic and obstetric procedure,which could be repaired through vaginal approach (Laztko procedure) or abdominal approach (O'Conor procedure).However,the vaginal approach of vesicovaginal fistulas repair should be the preferred one,because the transvaginal repairs is mini-invasive and achieve comparable success rates compared to abdominal repairs.In addition,surgeon could transvaginal repair recurrent fistula easily.Now,most vesicovaginal fistulas are iatrogenic with sever scar tissue surrounding fistulous tract.Therefore,based on the previous experience of transvaginal operation,we recommend usingShen Modification of Laztko's Procedure to improve the success rate of first transvaginal repair.
