[Conservative treatment of urogenital fistula following gynecological surgery: the value of fibrin glue].
Ureteric and bladder vaginal fistulas are recognized complications of gynaecologic surgery. We report on 4 cases of fistulas (2 uretero-vaginal and 2 vesico-vaginal) successfully treated by urinary drainage associated with plugging of fistula with fibrin sealant. Efficiency of conservative treatments is directly related to early application. Mechanical and biological properties of fibrin sealant explain its possible role in recovery, without increasing risk of viral transmission.
Tostain
J
J
Département d'Urologie, Polyclinique de Beaulieu Saint-Etienne.
D000328:Adult; D000368:Aged; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use*; D006801:Humans; D007044:Hysterectomy; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D014515:Ureteral Diseases / Q000209:etiology*; D001747:Urinary Bladder Fistula / Q000188:drug therapy / Q000209:etiology; D014548:Urinary Fistula / Q000188:drug therapy / Q000209:etiology*; D014624:Vaginal Fistula / Q000188:drug therapy / Q000209:etiology*
D015718:Fibrin Tissue Adhesive
Traitement conservateur des fistules urogénitales après chirurgie gynécologique: intérêt de la colle de fibrine.