[Trans-symphyseal approach in the treatment of cervico-urethro-vaginal fistulas. Apropos of 2 cases].
We opted for a symphysiotomy approach in the management of cervico-urethro-vaginal fistulae in two patients. This approach offers an excellent exposure of the region of the bladder neck. After section of the symphysis pubis with a Gigli's wire saw, the anterior wall of the bladder was taken down to the fistulae and we excised the fistulous tract. Longitudinal closure of the fistulae and the bladder followed. Results were satisfactory and there were no urinary incontinence.
Ayed
M
M
Service d'Urologie, Hôpital Charles-Nicolle, Tunis, Tunisie.
Jemni
M
M
Bennis
M
M
Ben Hassine
L
L
Loussaief
H
H
Mnif
A
A
Chebil
M
M
D000328:Adult; D002648:Child; D003559:Cystostomy; D005260:Female; D005402:Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D050723:Fractures, Bone / Q000150:complications; D006801:Humans; D010388:Pelvis / Q000293:injuries; D011859:Radiography; D013567:Symphysiotomy / Q000379:methods*; D014522:Urethral Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D014548:Urinary Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D002577:Uterine Cervical Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D014624:Vaginal Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*
La voie trans-symphysaire dans le traitement des fistules cervico-urétro-vaginales. A propos de 2 cas.