Sánchez MLC, Mendoza CE, Ceballos CNE

Language: Spanish
References: 17
Page: 193-195
PDF size: 53.04 Kb.

ABSTRACT

Introduction: Vesicovaginal fistula is one of the complications that may occur from gynecological surgery, urological surgery, obstetrical trauma or radiation therapy. And represents a difficult technique for this treatment. Objective: The knowledge of vesicovaginal fistula incidence accord with etiology our hospital, the etiology, most common presentation, diagnostic and surgical technique for treatment of vesicovaginal fistula. Identify the causes that make recurrence, and compare our results between other world reports. Material and methods: A retrospective chart review was undertaken with 91 clinic records from patients with initial vesicovaginal diagnostic treated in urology department from La Raza Medical Center in a period between January 1995 to December 2000. Results. The old median was 42 years, (range 22 to 62). Founding like fist cause the gynecological surgery with hysterectomy secondary to miomas (67%) followed the second cause the neoplasm of utherus (5.49%) and from obstetric causes the cephalopelvic disproportion (7.69%) followed to the cesareus to prolonged labor (5.49%). The other most common sickness were arterial hypertension 11% and diabetes mellitus with 7.8%. The most used diagnostic method was the cystoscopy with 98.9%. The most common surgical technique was the abdominal repair with 71.42% vs. vaginal repair with 28.58%. We reported 90.11% from effective procedures and recurrence in 9 patients with 9.89%. The 9 recurrence patients were have an other repair surgery with only 2 new recurrence. Conclusion: The good selection from the surgical technique in fistula vesicovaginal treatment instead accord with the described by Sims are the effective way for this treatment with less degree for fracases and recurrences.

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