Limited indication of gastrocystoplasty.
A 28-year-old woman presented a huge vesico-vagino-rectal fistula after radiotherapy applied because of a gynaecological tumour. Reconstruction consisted of a colostomy, closure of the rectal hole with a pedicled perineal skin graft, a bivalve opening of the bladder and, with the two halves coverage of the vaginal suture line, and augmentation gastrocystoplasty. The fistulas healed but the patient suffered from an intolerable burning sensation. That is, why the stomach wall was removed and ureteroileocutaneostomy was created. The colostomy was closed, and now the patient has a well-functioning urine stoma.
Pajor
L
L
Department of Urology, Semelweis University Medical School, Budapest, Hungary.
Harsányi
L
L
Frang
D
D
D000328:Adult; D003125:Colostomy; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D006863:Hydrogen-Ion Concentration; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D011832:Radiation Injuries / Q000601:surgery*; D018714:Radiotherapy, Adjuvant; D012006:Rectovaginal Fistula / Q000601:surgery*; D012007:Rectum / Q000528:radiation effects / Q000601:surgery; D012086:Reoperation; D013270:Stomach / Q000637:transplantation; D001743:Urinary Bladder / Q000528:radiation effects / Q000601:surgery; D014547:Urinary Diversion; D016476:Urinary Reservoirs, Continent / Q000379:methods*; D014555:Urination Disorders / Q000209:etiology / Q000601:surgery; D014594:Uterine Neoplasms / Q000532:radiotherapy* / Q000601:surgery; D014621:Vagina / Q000528:radiation effects / Q000601:surgery; D014719:Vesicovaginal Fistula / Q000601:surgery*