[Results of the treatment of lower urinary tract fistulas and stenoses in gynaecology and obstetrics (author's transl)].
The results of the treatment of 40 vesico-vaginal fistulas, 13 uretero-vesical fistulas, 2 ureto-uterine fistulas are 44 lower ureteral stenosis are reported. These developed following operative and radio-therapeutic treatment in gynaecology and obstetrics. The vesico-vaginal fistulas were operated through the vagine according to Fueth-Mayo. Even after failed primary operation a repeat vaginal operation was successful. In uretero-vesical fistulas a spontaneous healing cannot be expected later than 8 weeks after the primary operation and an operation for the fistula is then indicated. The results of 13 operations for uretero-vesical fistulas are described. In 12 cases a uretero-cystoneostomy was performed and in one case Boari plastic was done. Two ureto-uterine fistulas were treated by end to end anastomosis of the ureters which was successful. The treatment of post-operative stenosis of the ureter was primarily conservative and resulted in marked improvement on 18 of 24 cases. In 5 of 6 cases a ureto-cystonestomy or ureterolysis yielded good results.
D005260:Female; D005402:Fistula / Q000601:surgery; D006801:Humans; D008722:Methods; D014515:Ureteral Diseases / Q000601:surgery; D014517:Ureteral Obstruction / Q000601:surgery*; D014548:Urinary Fistula / Q000601:surgery*; D014591:Uterine Diseases / Q000601:surgery; D014624:Vaginal Fistula / Q000601:surgery; D014719:Vesicovaginal Fistula / Q000601:surgery*
Ergebnisse bei der Behandlung von Fisteln und Stenosen der unteren Harnwege in Gynäkologie und Geburtshilfe