[The surgical treatment of urogenital fistulae of obstetrico-gynecologic origin].
Ninety-two patients with urogenital fistulas of obstetric-gynecological origin have been treated at the Department of Urology of the Medical Academy in Sofia for a period of 14 1/2 years. Eighty seven women (94.6 per cent) were operated, with a total of 97 operations being performed. Thirty two of 34 patients with ureterovaginal fistula were operated (94.1 per cent). The following operative interventions were performed: 1 definitive nephrostomy, 5 temporary relieving nephrostomies, 4 nephrectomies and 27 reconstructive ureteral operations. Of 51 patients with vesicovaginal fistulas, 48 were operated (94.1 per cent). The following operations were performed: 4 supravesicular derivations of the urine, 21 transvaginal fistulorrhaphies, 16 transvesical suturings of the fistula, 11 transperitoneal and 1 transperitoneal-transvesical fistulorrhaphies. Seven women with ureterovaginal fistulas were operated transvaginally. The time elapses from the appearance of the fistula to the reconstruction was 66.2 days in ureterovaginal fistulas and 5.8 months in vesicovaginal and ureterovaginal ones. Transurethral urinary drainage was the operative method of choice. Eighty-three per cent of the operated patients were cured after the first correcting operation in patients with vesicovaginal and urethrovaginal fistulas. Best were the postoperative results in patients with ureterovaginal fistulas after ureterocystoneostomy by Bömonghaus's method.
Tachev
S
S
Petrov
P
P
Kumanov
Kh
Kh
Donovski
L
L
D005260:Female; D006801:Humans; D009392:Nephrectomy; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery*; D011247:Pregnancy; D014515:Ureteral Diseases / Q000209:etiology / Q000601:surgery*; D014522:Urethral Diseases / Q000209:etiology / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery; D014547:Urinary Diversion / Q000379:methods; D014548:Urinary Fistula / Q000209:etiology / Q000601:surgery*; D014624:Vaginal Fistula / Q000209:etiology / Q000601:surgery*; D014719:Vesicovaginal Fistula / Q000209:etiology / Q000601:surgery*
Operativno lechenie na pikochno-polovite fistuli ot akushero-ginekologichen proizkhod.