经阴道修补膀胱子宫瘘三例经验总结

Transvaginal repair of vesicouterine fistulae:experience of 3 cases

膀胱子宫瘘(VUF)是泌尿生殖瘘中少见的一种类型。手术修补是主要的治疗方法,经腹路径修补是最常用的手术方式,经阴道路径罕有报道。本文报道3例经阴道修补VUF的成功经验,其中2例膀胱子宫颈瘘,1例膀胱子宫体瘘。3例VUF均经阴道修补,术后分别随访6、12、24个月,术后阴道无漏液、无血尿,VUF治愈。经阴道路径修补VUF可行,且安全有效,创伤小。

Vesicouterine fistula(VUF)represents a rare urogenital complication.It is considered to be the least common type of urogenital fistulae.Surgical repair remains the mainstay of treatment.Transabdominal repair is the most common surgical method and transvaginal route is rarely reported.Herein,we presented the successful transvaginal repair of 3 cases of VUF in our center,including 2 cases of vesicocervical fistula and 1 case of high vesico-uterine body fistula.All the 3 VUF cases were repaired through vagina and followed up for 6 months,1 year and 2 years,respectively.There was no vaginal leakage or hematuria postoperatively.VUF was cured.Transvaginal repair of VUF was shown to be a feasible,safe and effective procedure with small trauma.