Our experience of treatment of female patients with combined uretero-vesico-vaginal fistulas

D. Y. Pushkar; Пушкарь Д. Ю.; V. V. Dyakov; Дьяков В. В.; В. N. Godunov; Годунов Б. Н.; L. М. Gumin; Гумин Л. М.

doi:10.17816/JOWD87497

Our experience of treatment of female patients with combined uretero-vesico-vaginal fistulas

Authors: Pushkar D.Y.¹, Dyakov V.V.¹, Godunov В.N.¹, Gumin L.М.¹
Affiliations:
1. Moscow Medico-Stomatological University
Issue: Vol 54, No 5S (2005)
Pages: 76-76
Section: Reviews
URL: https://journals.eco-vector.com/jowd/article/view/87497
DOI: https://doi.org/10.17816/JOWD87497
ID: 87497

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Abstract

Aims & Objectives: combined uretero-vesico-vaginal fistulas is rare pathology with difficult diagnosis and treatment. We summarize the experience of treatment of such category of patients.

Keywords

combined uretero-vesicovaginal fistula, treatment of combined uretero-vesicovaginal fistula, Boari technique

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Aims & Objectives: combined uretero-vesico-vaginal fistulas is rare pathology with difficult diagnosis and treatment. We summarize the experience of treatment of such category of patients.

Material & Methods. During the period from 1998 to 2005, 171 female patients (mean age 41,9 years) suffering from combined uretero-vesico-vaginal fistulas were undergone transvesical fistuloplastics with simultaneous Boari procedure. All the fistulas were gynecological. Before the operation all the patients were undergone cystoscopy with damaged urether catheterization. Catheter Foley was indwelled on 8 days and J-J stent - on 3 weeks.

Results. All the patients were cured. In 6% of operated patients detrusor instability were detected. All of them were treated successfully by holinolytics.

Conclusions. Combined transabdominal intervention in patients suffering from combined uretero-vesico-vaginal fistulas is the best approach in surgical treatment of such group of patients.