| Title |
Makšties pūslinės fistulės: 35 metų patirties apibendrinimas / |
| Translation of Title |
Vesicovaginal fistulas: 35 years of clinical experience. |
| Authors |
Mičelytė, Stasė ; Domža, Bronius ; Šilinis, Darius ; Gatelis, Egidijus |
| DOI |
10.15388/LietChirur.2005.4.2301 |
| Full Text |
|
| Is Part of |
Lietuvos chirurgija.. Vilnius : Vilniaus universiteto leidykla. 2005, t. 3, Nr. 4, p. 332-339.. ISSN 1392-0995. eISSN 1648-9942 |
| Keywords [eng] |
vesico-vaginal fistula ; VVF, etiology ; diagnostics ; treatment ; care |
| Abstract [eng] |
Background / objective. Vesico-vaginal fistula (VVF) is mostly a secondary and often yatrogenic postoperative complication. Based on case histories and mostly on our experience, we have made a retrospective analysis with a brief summary of historical and modern literature. Patients and methods. There were 51 patients with VVF admitted to Vilnius Cty University Hospital Urological Department in 1969–2004. In 46 (90%) VVF opened after hysterectomy on 1–14 postoperative day. All (51) suffered from partial or complete urine leakage. Urinary blader was drained with a Foley catheter. Routine urological, gynaecological and common clinical analyses were made. Antibiotics were prescribed. Electrocoagulation of small and fresh fistula edges was performed in 13 cases, open transvaginal and transabdominal operations were made for 47 patients (65 times), in 9 of them 18 were repeated operations. Results. No one of the VVF closed after conservative treatment. Four from 13 closed after transvesical electrocoagulation and 45 from 47 after open operations. Totally VVF closed in 96% of patients. In 2 cases the treatment was unsuccessful. Conclusions. VVF is a rare complication: during 35 years we treated only 51 patients, in 17 of them VVF opened after procedures in our hospital and 34 elsewhere. In 90% the reason for VVF was hysterectomy. Part of small fistulas can be closed by endovesical electrocoagulation of fistula edges. In most cases vaginal approach for closuring VVF must be chosen with both the urologist and gynaecologist participating in the operation. |
| Published |
Vilnius : Vilniaus universiteto leidykla |
| Type |
Journal article |
| Language |
Lithuanian |
| Publication date |
2005 |
| CC license |
|
