Pérez MLE, Romagosa BE, González CEG

Language: Spanish
References: 0
Page: 184-191
PDF size: 342.10 Kb.

ABSTRACT

Urethrovaginal fistula is uncommon and its surgical treatment can be very challenging because of poor local tissue quality; two or more procedures may often be required, making it discouraging for many who use vaginal procedures with favorable results: urethro-compression, urethrosuspension, and urethroplasty. It is presented a female patient of 64 years old operated of rectocistocele and uterine prolapse with diagnosis of urethrovaginal fistula. Due to the history of urinary incontinence of stress presented by the patient before surgery of the uterine prolapse since the fistula located in the proximal urethra or bladder neck the mechanism of continence may be compromised, it was decided to perform the repair of the urethrovaginal fistula with a technique successfully used in another patient who presented a fistulous trajectory between bladder trine and vagina and support this procedure with a urethrosuspension with mesh free of suburetral transobturator tension. The patient evolved satisfactorily, which supports the use of this surgical technique that was performed for the first time in this hospital.