Treatment of vesicovaginal fistula after radiotherapy with gracilis flap: one case report
10.3760/cma.j.cn112330-20210927-00509
- VernacularTitle:股薄肌瓣填塞治疗放疗后膀胱阴道瘘1例报告
- Author:
Rong LYU
1
;
Yinglong SA
;
Chao FENG
;
Lin WANG
;
Jijian WANG
;
Gong CHEN
Author Information
1. 上海交通大学附属第六人民医院泌尿外科，上海 200233
- Keywords:
Vesicovaginal fistula;
Radiotherapy;
Tissue flap;
Gracilis flap
- From:
Chinese Journal of Urology
2022;43(11):871-872
- CountryChina
- Language:Chinese
-
Abstract:
The treatment of vesicovaginal fistula after radiotherapy is difficult. Surgical repair is challenging and the success rate is low. The gracilis flap is widely used in the repair surgery of the perineal region, while it is rarely reported for the repair of vesicovaginal fistula domestically. This article reports a case of vesicovaginal fistula after radiotherapy treated with gracilis flap tamponade. The patient was admitted to the hospital because of continuous vaginal leakage of urine for more than 3 years. Digital vaginal examination and urethroscopy showed that a fistula with a diameter of about 3 cm located at the bladder triangle leading to the vagina. The patient had history of cervical cancer surgery and 23 times of postoperative adjuvant radiotherapy. She underwent vesicovaginal fistula repair with gracilis muscle flap. The urethral catheter was removed 3 weeks after the operation. The patient could urinate normally without vaginal leakage. After 10 months of follow-up, there was no vaginal leakage of urine and patient remains continent.
