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Vesicovaginal Fistula Repair Using a Transurethral Pointed Electrode

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초록

The most common cause of vesicovaginal fistulasis injury to the bladder at the time of surgery. The operation most frequently responsible for vesicovaginal fistula formation is hysterectomy. The first successful transvaginal approach to vesicovaginal fistula repair was reported by Sims in 1838. Although many surgical procedures exist, there is no best approach for all patients with vesicovaginal fistula. However, it is an essential surgical principle that the fistulous tract and scar should be excised completely. Here we report our technique using a transurethral pointed electrode for the treatment of multiple, small vesicovaginal fistulas and its outcome.

Abstract

The most common cause of vesicovaginal fistulasis injury to the bladder at the time of surgery. The operation most frequently responsible for vesicovaginal fistula formation is hysterectomy. The first successful transvaginal approach to vesicovaginal fistula repair was reported by Sims in 1838. Although many surgical procedures exist, there is no best approach for all patients with vesicovaginal fistula. However, it is an essential surgical principle that the fistulous tract and scar should be excised completely. Here we report our technique using a transurethral pointed electrode for the treatment of multiple, small vesicovaginal fistulas and its outcome.

참고문헌 (8)

  1. Newton M, "Complications of abdominal operations in: Complications of Gynecologic and Obstetric Management", pp.148~151 (1998), Saunders
  2. Sims JM, "On the treatment of vesico-vaginal fistula.1852", Int Urogynecol J Pelvic Floor Dysfunct, 9, pp.236~248 (1998)
  3. Gerber GS, "Female urinary tract fistulas", J Urol, 149, pp.229~236 (1993)
  4. Goodwin WE, "Vesicovaginal and ureterovaginal fistulas: a summary of 25 years of experience", J Urol, 123, pp.370~374 (1980)
  5. Davits RJ, "Conservative treatment of vesicovaginal fistulas by bladder drainage alone", Br J Urol, 68, pp.155~156 (1991)
  6. Blaivas JG, "Early versus late repair of vesicovaginal fistulas: vaginal and abdominal approaches", J Urol, 153, pp.1110~1112 (1995)
  7. Fourie T, "Early surgical repair of post-hysterectomy vesicovaginal fistulas", S Afr Med J, 63, pp.889~890 (1983)
  8. Martius H, "Die operative Widerherstellung Der Vollkommen fehlendden Harnohre und des Schiessmuckels derselben", Zentralbl Gynak, 52, pp.480~486 (1928)

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